MARK HAVERA, OD
Optometrist
Active
Individual
NPI: 1306125166
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 046010454 (IL) |
Frequently Asked Questions
NPI 1306125166 is the National Provider Identifier for MARK HAVERA, OD, a Optometrist provider located in Edwardsville, IL. This NPI was enumerated on August 11, 2011.
MARK HAVERA, OD practices at 6663 EDWARDSVILLE CROSSING DR, STE B, Edwardsville, IL 62025.
Quick Facts
- NPI
- 1306125166
- Type
- Individual
- Enumerated
- Aug 11, 2011
- Last Updated
- Oct 2, 2014
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