Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK THOMAS DONOVAN
Active Sole ProprietorMR. MARK THOMAS DONOVAN is a Optician, Dispensing healthcare provider located in SOUTH BOSTON, Massachusetts. NPI 1568736775 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · SOUTH BOSTON, MA
Registration Details
- NPI Number
- 1568736775
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2012 (14.472597843444 yrs)
- Last Updated
- Mar 6, 2012
- License
-
4282 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
666 E BROADWAYSOUTH BOSTON, MA, 021271502Browse MA providers · Browse ZIP 02127
- Phone
- 6172394354
- Fax
- 6172682805
- 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.