Mark D. Livaditis O.D.

NPI 1427193267 - Optometrist - 152W00000X

NPI Details
NPI 1427193267
Gender Male
Enumeration Date 02/20/2007
Last Updated 10/16/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
5250 PORT ROYAL RD # G
SPRINGFIELD VA, 22151-2117, US
Phone (703) 321-7780
Fax (703) 321-2205
Business Location
5250 PORT ROYAL RD # G
SPRINGFIELD VA, 22151-2117, US
Phone (703) 321-7780
Fax (703) 321-2205
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0618000747
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According to our database, Dr. Mark D. Livaditis O.D. NPI is 1427193267, taxonomy code is 152W00000X and license number is 0618000747, license state is located at Virginia. Mark D. Livaditis O.D. physically located at 5250 Port Royal Rd # G, Springfield VA, 22151-2117. NPI Number Mark D. Livaditis O.D. has the Individual type.

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1427193267 NPI number is provided on an as is basis without warranty of any kind. 1427193267 is maintained by the National Plan & Provider Enumeration System. The contents of Mark D. Livaditis O.D. are for informational purposes only.