DR. MARK D. LIVADITIS


Address: 5250 Port Royal Rd # G, Springfield, VA 22151-2117
Phone: 7033217780

DR. MARK D. LIVADITIS (NPI# 1427193267) 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) 1427193267
Entity Type Individual
Full Name DR. MARK D. LIVADITIS
Credential O.D.
Practice Address 5250 Port Royal Rd # G
Springfield
VA 22151-2117
Practice Telephone 7033217780
Practice Fax Number 7033212205
Mailing Telephone 7033217780
Mailing Fax Number 7033212205
Enumeration Date 2007-02-20
Last Update Date 2009-10-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 0618000747 VA Eye and Vision Services Providers

Office Location

Street Address 5250 PORT ROYAL RD # G
City SPRINGFIELD
State VA
Zip Code 22151-2117

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1508499849 Aan Healthcare Services Inc. Home Health 6820 Commercial Dr, Ste D, Springfield, VA 22151 2020-02-14
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1720597834 Katelyn E Prue Behavioral Analyst 5414 Backlick Road, C, Springfield, VA 22151 2017-09-21
1144763806 Marcus Rein Physical Therapist 6805 Industrial Rd, Springfield, VA 22151 2016-11-29
1760843676 Pablo Enrique Moro Counselor 5415-c Backlick Rd, Springfield, VA 22151 2016-03-19
1780938332 Leticia Duah Registered Nurse 8551 Newington Forest Court, Springfield, VA 22151 2012-11-05
1760624613 Georges Traboulsi Dentist 5419 Backlick Rd., C, Springfield, VA 22151 2009-03-24
1952563033 Nhu-anh Nguyen Pharmacist 5424 Backlick Road, Springfield, VA 22151 2008-06-30
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053938092 Premier Vision Center LLC Optometrist 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 2020-06-25
1376180109 Drs. Akre & Clark, Ltd. Optometrist 623 W Rock St, Springfield, MN 56087-1028 2019-11-27
1407410087 Missouri Physicians Eyecare Group, P.C. Optometrist 1415 E Battlefield St, Springfield, MO 65804-3701 2019-04-29
1467931006 Vision Care Focus, LLC Optometrist 1507 Mohawk Blvd, Springfield, OR 97477-3355 2018-08-13
1306337126 Casey Marie Smith Optometrist 1024 N Plum St, Springfield, OH 45504-2108 2018-05-29
1598254666 Casey Carr Optometrist 1229 E Seminole St Ste 110, Springfield, MO 65804 2018-05-04
1790299311 Springfield Eye Specialists LLC Optometrist 3231 S National Ave Ste 165, Springfield, MO 65807-7304 2017-11-17
1093253247 Minh-tam Nguyen Optometrist 8424 Old Keene Mill Rd, Springfield, VA 22152-2302 2017-02-08
1013453877 Grace Chang, Od PC Optometrist 6575n Frontier Dr, Springfield, VA 22150-1415 2017-01-17
1669821914 Laura Kay Optometrist 1342 E Primrose St Ste B, Springfield, MO 65804-4224 2016-06-08
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Competitor

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City SPRINGFIELD
Zip Code 22151

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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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