Mark D. Livaditis, O.d.

NPI #1912146499 in Springfield, Virginia

Provider Information

NPI Number: 1912146499
Entity Type: Organization
Organization Name: Mark D. Livaditis, O.d.
Primary Specialty: Optometrist
Enumeration Date: Feb 6, 2009
Last Updated: Aug 25, 2009

Practice Location

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

Authorized Official

Name: DR. MARK D LIVADITIS, O.D.
Title: OWNER
Phone: (703) 321-7780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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