DR. Mark D. Livaditis, O.D.

NPI #1427193267 in Springfield, Virginia

Provider Information

NPI Number: 1427193267
Entity Type: Individual
Name: DR. Mark D. Livaditis, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 20, 2007
Last Updated: Oct 16, 2009

Practice Location

Address: 5250 PORT ROYAL RD # G
City: Springfield
State: Virginia
ZIP Code: 22151-2117
Phone: (703) 321-7780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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