Livaditis, Mark D.

Livaditis, Mark D. is an sole proprietor health care provider with primary practice located at 5250 Port Royal Rd # G , Springfield VA 22151-2117. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Livaditis, Mark D. can be contacted via phone (703) 321-7780.

Contact Information

Primary practice address
5250 Port Royal Rd # G Springfield VA 22151-2117
Phone: (703) 321-7780
Fax: (703) 321-2205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000747 Virginia

Profile Details

NPI number 1427193267
LBN Legal business name Livaditis, Mark D.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Oct 16th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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