Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK LIBASSI, DO
Active Sole ProprietorMARK LIBASSI, DO is a Optician, Dispensing healthcare provider located in JOHNSTON, Rhode Island. NPI 1548540438 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · JOHNSTON, RI
Registration Details
- NPI Number
- 1548540438
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2011 (14.993460714281 yrs)
- Last Updated
- Apr 8, 2019
- License
-
113 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1395 ATWOOD AVE STE 103JOHNSTON, RI, 029194930Browse RI providers · Browse ZIP 02919
- Phone
- 4019434330
- Fax
- 4019434331
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.