Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205834439 Individual Practitioner Male Practitioner

Dr. Mark Packer , MD

Ophthalmology • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Dr. Mark Packer, MD is a registered healthcare professional specializing in Ophthalmology in Boulder, CO. Practice services are available at 1400 BLUEBELL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 Bluebell Ave

Boulder, CO 803027834

Telephone 5419150291

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.1 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Boulder, CO (361 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CO DR.0054602

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License OR MD22302

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License CA 75599

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
130311 (OR)
Commercial Insurance / Payer ID Railroad Medicare
180043385
Commercial Insurance / Payer ID Railroad Medicare
180040741

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 20, 2018

Registered at 1400 BLUEBELL AVE, BOULDER, CO 803027834 (Tel: 5419150291)

📍
Updated Business Mailing Address December 20, 2018

Registered at 1400 BLUEBELL AVE, BOULDER, CO 803027834 (Tel: 5419150291)

NPI Profile Active June 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2012

Registered at 1550 OAK ST, SUITE #5, EUGENE, OR 974017701 (Tel: 5416872110)

📍
Updated Business Mailing Address June 18, 2012

Registered at 1550 OAK ST, SUITE #5, EUGENE, OR 974017701 (Tel: 5416872110)

👤
Provider Name / Credentials Updated June 18, 2012

Recorded as MARK PACKER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2012

Ophthalmology (License #MD22302 in OR)

🟢
Initial NPI Registration & Enumeration July 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205834439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2005
Last Update: December 20, 2018
Sole Proprietor: No

Mailing Address

1400 Bluebell Ave

Boulder, CO 803027834

Phone: 5419150291

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.