MARK BRUCE GIVENS


Address: 2801 Wilma Rudolph Blvd, Suite #100, Clarksville, TN 37040-5011
Phone: 9315532132

MARK BRUCE GIVENS (NPI# 1750482659) 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) 1750482659
Entity Type Individual
Full Name MARK BRUCE GIVENS
Credential OD
Practice Address 2801 Wilma Rudolph Blvd
Suite #100
Clarksville
TN 37040-5011
Mailing Address Po Box 110567
Nashville
TN 37222-0567
Practice Telephone 9315532132
Practice Fax Number 9315527446
Mailing Telephone 9315532132
Mailing Fax Number 9315527446
Enumeration Date 2006-09-26
Last Update Date 2011-10-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 499 TN Eye and Vision Services Providers

Office Location

Street Address 2801 WILMA RUDOLPH BLVD
SUITE #100
City CLARKSVILLE
State TN
Zip Code 37040-5011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417393224 Adam Matthew Beaubien Optometrist 2801 Wilma Rudolph Blvd, Clarksville, TN 37040 2013-05-20
1285951020 Cole Vision Corporation Eyewear Supplier (Equipment, not the service) 2801 Wilma Rudolph Blvd, Governor's Square Mall, Clarksville, TN 37043-5011 2010-05-03
1619205002 Lewis PC Preferred Provider Organization 2801 Wilma Rudolph Blvd, Suite 665, Clarksville, TN 37040-5011 2009-11-24
1174678403 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 2801 Wilma Rudolph Blvd, Governors Square Mall Ste #665, Clarksville, TN 37040-5011 2007-01-25
1265598577 Luxottica Retail North America Inc Eyewear Supplier (Equipment, not the service) 2801 Wilma Rudolph Blvd, Governor's Square Mall, Clarksville, TN 37043-5011 2006-12-29
1811052715 Joseph Honeycutt Optometrist 2801 Wilma Rudolph Blvd, Clarksville, TN 37040-5011 2006-12-22
1922181684 Dr Mark Lynn & Associates Pllc Eyewear Supplier (Equipment, not the service) 2801 Wilma Rudolph Blvd, Clarksville, TN 37040-5011 2006-10-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770124380 Clarksville Treatment Center, LLC Clinic/Center 495 Dunlop Lane, Clarksville, TN 37040 2019-10-04
1295384956 Dena Marie Borchick Technician 3779 Cindy Jo Dr. N, Clarksville, TN 37040 2019-09-05
1477014488 Emily Allen Dentist 930 Hwy 76, Clarksville, TN 37040 2019-03-31
1730640566 Latoya Ewert Counselor Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 2019-03-26
1356811988 Jamie Coles Behavior Technician 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 2018-11-27
1518448554 Bandel Counseling Service Clinic/Center 113 3rd St., Suite 25, Clarksville, TN 37040 2018-08-28
1477052520 Bridget Stokes Behavior Technician 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 2018-02-05
1053824334 Sandra Loren Coates Nurse Practitioner 980 Professional Park Dr Ste C, Clarksville, TN 37040 2017-11-09
1902328362 Terri Brooke Roach Registered Nurse 651 Dunlop Lane, Clarksville, TN 37040 2017-07-07
1093244428 Nikkia Deneil Bell Behavior Technician 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 2017-06-08
Find all providers in zip 37040

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
1710530225 Kaley Stinnett Optometrist 2801 Wilma Rudolph Blvd Ste 475, Clarksville, TN 37040-5064 2019-07-23
1174053433 Alyssa Jackson Optometrist 3929 Lamar Dr, Clarksville, TN 37040-3704 2017-06-19
1710337365 Joshua Houston Optometrist 1030 Veterans Pkwy, Clarksville, IN 47129-2354 2016-06-14
1528498565 Divya Patel Optometrist 2801 Wilma Rudolph Blvd Ste 665, Clarksville, TN 37040-5063 2013-11-12
1780949693 Jane Choi Council Optometrist 12345 Wake Forest Rd Ste E, Clarksville, MD 21029 2012-07-06
1992936892 Tangee Melissa Davis Optometrist 1111 A Fort Campbell Blvd., Clarksville, TN 37042 2009-07-27
1558535302 Dr David S Greene Optometrist 337 Madison St, Clarksville, GA 30523 2008-04-14
1235143538 Dr. Mark Lynn & Associates, Pllc Optometrist 516 E Lewis and Clark Pkwy, Clarksville, IN 47129-1700 2006-07-29
1821002650 Brian Roy Murray Optometrist 621 N Riverside Dr, Sites Vision Clinic, Clarksville, TN 37040 2006-07-28
1558387258 Matthew Theodore Drew Optometrist 1111a Fort Campbell Blvd, Clarksville, TN 37042-6426 2006-07-14
Find all providers in CLARKSVILLE

Competitor

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City CLARKSVILLE
Zip Code 37040

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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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