Provider Demographics
NPI:1982662268
Name:TAROYAN, MARKAR (OD)
Entity type:Individual
Prefix:DR
First Name:MARKAR
Middle Name:
Last Name:TAROYAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5926 W PARKER RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7732
Mailing Address - Country:US
Mailing Address - Phone:972-985-7888
Mailing Address - Fax:972-612-1053
Practice Address - Street 1:5926 W PARKER RD
Practice Address - Street 2:SUITE 400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7732
Practice Address - Country:US
Practice Address - Phone:972-985-7888
Practice Address - Fax:972-612-1053
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2643TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX75-2886875OtherTAX ID
TX093160202Medicaid
TX75-2886875OtherTAX ID
TX093160202Medicaid