Sevigny, Mark D
Sevigny, Mark D is an individual health care provider with primary practice located at 735 N 6Th Ave , Wauchula FL 33873-2002. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sevigny, Mark D can be contacted via phone (863) 773-3322.Contact Information
Primary practice address
735 N 6Th Ave
Wauchula FL 33873-2002
Phone: (863) 773-3322
Fax: (863) 773-6458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC4241 | Florida |
Profile Details
| NPI number | 1205028461 |
|---|---|
| LBN Legal business name | Sevigny, Mark D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Jan 29th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205028461 | NPPES |
| Florida | MEDICAID | 621295600 |
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