Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Robert Hallstrom, OD

Individual provider Optometrist · NPI 1710274303

Dr. Mark Robert Hallstrom, OD is an Optometrist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2311 Wayzata Blvd S
Minneapolis, MN 55405-2119
Phone: (612) 377-5192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3233 (MN)

Record details

NPI number1710274303
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 1, 2011
Last updated in NPPESDecember 9, 2011
Mailing address2311 Wayzata Blvd S, Minneapolis, MN 55405-2119

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