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

Mark Edward Street, OD

Individual provider Optometrist · NPI 1770897852

Mark Edward Street, OD is an Optometrist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2010.

Licensed in
PA
In the registry since
2010
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

1200 W Godfrey Ave Administration Ste
Philadelphia, PA 19141-3323
Phone: (215) 276-6000
Fax: (215) 276-1329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG002389 (PA)

Record details

NPI number1770897852
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 2, 2010
Last updated in NPPESAugust 2, 2010

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