Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK A HAVERA, OD
ActiveMARK A HAVERA, OD is a Optometrist healthcare provider located in EDWARDSVILLE, Illinois. NPI 1306125166 is currently active in the NPPES registry. Verify at CMS.
Optometrist · EDWARDSVILLE, IL
Registration Details
- NPI Number
- 1306125166
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2011 (14.827079746885 yrs)
- Last Updated
- Oct 2, 2014
- License
-
046010454 (IL)
Practice Information
- Address
-
6663 EDWARDSVILLE CROSSING DRSTE BEDWARDSVILLE, IL, 620252704Browse IL providers · Browse ZIP 62025
- Phone
- 6186592320
- Fax
- 6186550375
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in EDWARDSVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN ROBERT EIGENBRODT | O.D. | 1982602918 |
| DR. STEPHANIE R GOGGIN | OD | 1013965367 |
| VALERIE J BARBER | O.D. | 1265504443 |
| DR. JENNIFER BRAVE RAFATI | OD | 1184886731 |
| DR. SUMAN DILIP NAVALGUND | O.D. | 1245476357 |
| DR. ALICIA TRIPLETT JANSSEN | OD | 1831487610 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.