MARK IVERSON


Address: 81 River St, Suite 204, Montpelier, VT 05602-3792
Phone: 8022299554

MARK IVERSON (NPI# 1003878349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003878349
Entity Type Individual
Full Name MARK IVERSON
Credential MD
Practice Address 81 River St
Suite 204
Montpelier
VT 05602-3792
Practice Telephone 8022299554
Practice Fax Number 8022295906
Mailing Telephone 8022299554
Mailing Fax Number 8022295906
Enumeration Date 2006-04-03
Last Update Date 2016-11-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 042.0007517 VT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VT 0009051 05

Office Location

Street Address 81 RIVER ST
SUITE 204
City MONTPELIER
State VT
Zip Code 05602-3792

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366943185 Central Vermont Chiropractic Chiropractor 81 River St, Montpelier, VT 05602 2018-02-27
1790239317 Suzanna Bliss Acupuncturist 81 River St, Suite 102b, Montpelier, VT 05602-3792 2016-08-11
1679995054 Brooke Haslam Calhoun Chiropractor 81 River St, Montpelier, VT 05602 2014-01-20
1992098198 Emilie Clark Connor Physical Therapist 81 River St, Montpelier, VT 05602 2011-05-20
1417246430 Lori Rae Rose Physical Therapist 81 River St, Ste 201, Montpelier, VT 05602-3792 2011-03-30
1891941407 Aydan L Crandall Physical Therapist 81 River St, Montpelier, VT 05602-3792 2008-08-14
1609039379 Todd A Page Optometrist 81 River St, Suite 203, Montpelier, VT 05602-3792 2008-07-03
1629246632 Lois M Shiozawa Optometrist 81 River St, Montpelier, VT 05602-3792 2008-02-12
1902082597 Vermont Audiology, Inc. Audiologist-Hearing Aid Fitter 81 River St, Suite 206, Montpelier, VT 05602-3792 2008-01-14
1245347806 Forest Family Dentistry Dentist 81 River St, Montpelier, VT 05602-3750 2006-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306476981 Morgan Lamson Nurse Practitioner Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 2020-01-22
1265086037 Abbey Lynne Rouleau Nurse Practitioner Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 2019-07-30
1295229896 Julia Chafets Social Worker 132 Main St Ste 2, Montpelier, VT 05602 2018-06-18
1528599297 Irene Chamberlain Physician Assistant 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 2017-03-24
1528506508 Caitlin Roberts Specialist/Technologist 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 2017-02-09
1417493297 Sayed Shahabodin Khatounabadi Pharmacist 29-31 Main St, Montpelier, VT 05602 2017-01-17
1972052660 Frangis Aliakbarkhani Pharmacist 29-31 Main St., Montpelier, VT 05602 2016-09-23
1144676610 Shippee Family Eye Care PC Optometrist 15 East State St, Montpelier, VT 05602 2016-05-13
1326457060 Elizabeth Afanasyev Physician Assistant 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 2014-08-06
1790193985 Jennifer Sanborn Counselor 246 Granger Rd., Suite 2, Berlin, VT 05602 2014-07-31
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083905590 Brian Christopher Doyle Ophthalmology 81 River St Ste 204, Montpelier, VT 05602-3750 2011-05-02
1437544004 Brian C. Doyle, M.d., Plc. Ophthalmology 81 River St Ste 204, Montpelier, VT 05602-3750 2015-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235526567 Jonathan Manhard Ophthalmology 1100 Hinesburg Rd Ste 201, South Burlington, VT 05403-7613 2015-04-24
1760748693 Northwestern Medical Center, Inc. Ophthalmology 128 Fisher Pond Rd, 2nd Floor, Suite 3, Saint Albans, VT 05478-6058 2012-04-04
1598915332 Miranda Kirstin Renfrow Ophthalmology 1290 Hospital Dr Ste 5, Saint Johnsbury, VT 05819-9205 2008-09-30
1417126889 Richard A. Lane Md PC Ophthalmology 441 River Street, Springfield, VT 05156 2008-02-29
1689789240 Gerald R Saparoff Md PC Ophthalmology 212 Prouty Drive, Suite 2, Newport, VT 05855 2006-08-21
1437169661 David J Weissgold Ophthalmology 181 Saint Paul St, Burlington, VT 05401-4636 2006-08-09
1275549214 Joanne Marie Savard Ophthalmology 58 East View Lane/berlin, The Eye Center, Barre, VT 05641 2006-07-31
1134146970 Armando J Coello Ophthalmology 58 E View Ln, Barre, VT 05641-5317 2006-07-17
1487670642 Central Vermont Eye Care, P.C. Ophthalmology 69 Allen Street, Suite 15, Rutland, VT 05701 2006-07-14
1205882065 Thomas J. Cavin Ophthalmology 55 Timber Ln, South Burlington, VT 05403-5203 2006-05-25
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Competitor

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City MONTPELIER
Zip Code 05602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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