JOHN MACKOVJAK (NPI# 1386932945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386932945 |
| Entity Type | Individual |
| Full Name | JOHN MACKOVJAK |
| Credential | M.D. |
| Practice Address |
1535 E Broomfield St Mt Pleasant MI 48858-4489 |
| Mailing Address |
1005 Charlevoix Dr Ste 100 Grand Ledge MI 48837-8186 |
| Practice Telephone | 9897723339 |
| Mailing Telephone | 5173371668 |
| Mailing Fax Number | 5176221205 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301099081 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1535 E BROOMFIELD ST |
| City | MT PLEASANT |
| State | MI |
| Zip Code | 48858-4489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427077023 | Dawn Lewis | Technician/Technologist | 1535 E Broomfield St, Mt Pleasant, MI 48858-4489 | 2006-07-18 |
| 1508993858 | Precision Optical Services of Mt Pleasant LLC | Eyewear Supplier (Equipment, not the service) | 1535 E Broomfield St, Mt Pleasant, MI 48858-4489 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457589384 | Julie Bullard | Ophthalmology | 874 Whipple Rd Ste 200, Mt Pleasant, SC 29464-8901 | 2009-06-30 |
| 1710094586 | Glaucoma Consultants and Center for Eye Research, Pa | Ophthalmology | 721 Long Point Rd, Suite 407, Mt Pleasant, SC 29464-8297 | 2006-08-25 |
| 1710995543 | John D Gross | Ophthalmology | 613 Long Point Rd, Suite 201, Mt Pleasant, SC 29464-8350 | 2006-08-04 |
| 1881608024 | Kerry D Solomon | Ophthalmology | 1101 Clarity Rd Ste 100, Mt Pleasant, SC 29464-3138 | 2006-07-27 |
| 1770530743 | John L Grady | Ophthalmology | 1705 Beaucastel Rd, Mt Pleasant, SC 29464-3657 | 2006-05-27 |
| 1316903214 | Elizabeth D Sharpe | Ophthalmology | 242 Mathis Ferry Rd Ste 100, Mt Pleasant, SC 29464-2982 | 2006-04-21 |
| 1154381788 | Thomas R Mather | Ophthalmology | 242 Mathis Ferry Rd, Suite 100, Mt Pleasant, SC 29464-2982 | 2006-03-27 |
| 1477932556 | Mt Pleasant Eye Surgeons LLC | Ophthalmology | 874 Whipple Rd, Suite 200, Mt Pleasant, SC 29464-8900 | 2015-05-22 |
| 1992966477 | Carolina Macular and Retinal Care LLC | Ophthalmology | 613 Long Point Rd, Suite 201, Mt Pleasant, SC 29464-8350 | 2008-06-18 |
| 1114192010 | Thomas M Leland Md Pa | Ophthalmology | 578 Lone Tree Dr, Suite 102, Mt Pleasant, SC 29464-8170 | 2008-04-23 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 48858 |
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| 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.