MARK LIBASSI (NPI# 1548540438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548540438 |
| Entity Type | Individual |
| Full Name | MARK LIBASSI |
| Credential | DO |
| Practice Address |
1395 Atwood Ave Ste 103 Johnston RI 02919-4930 |
| Mailing Address |
1450 Atwood Avenue Johnston RI 02919-4840 |
| Practice Telephone | 4019434330 |
| Practice Fax Number | 4019434331 |
| Mailing Telephone | 4019434330 |
| Mailing Fax Number | 4019434331 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2019-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
113 | RI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215967682 | Mark J. Libassi | Surgery | 3998 Red Lion Rd, Suite 125, Philadelphia, PA 19114-1436 | 2006-07-03 |
| Street Address |
1395 ATWOOD AVE STE 103 |
| City | JOHNSTON |
| State | RI |
| Zip Code | 02919-4930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215373360 | Eyes & Optics, Inc. | Optometrist | 1395 Atwood Ave Ste 103, Johnston, RI 02919-4930 | 2013-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659935757 | Cheryl K. D'itri | Massage Therapist | 2051 Plainfield Pike, Johnston, RI 02919 | 2019-04-24 |
| 1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
| 1659862803 | Michaele Marie Colizza | Massage Therapist | 1524 Atwood Ave Ste 213, Johnston, RI 02919 | 2018-05-23 |
| 1609396613 | Peter Dionisopoulos | Physical Therapist | 12 Industrial Ln, Johnston, RI 02919 | 2017-06-21 |
| 1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
| 1467735720 | Robert Tortolani | Pharmacist | 1387 Plaindield St., Johnston, RI 02919 | 2011-09-23 |
| 1518288075 | Vito F. Ferri | Internal Medicine | 1539 Atwood Ave., Suite 101, Johnston, RI 02919 | 2010-06-18 |
| 1497073894 | Usv Optical Inc. | Technician/Technologist | 200 Stone Hill Drive, Johnston, RI 02919 | 2010-05-10 |
| 1922239995 | Heidi C. O'grady | Physical Therapist | 1529 Atwood Avenue, Suite 202, Johnston, TX 02919 | 2009-08-07 |
| 1184855397 | Holly Batura | Counselor | 1516 Hartford Avenue, Johnston, RI 02919 | 2009-08-05 |
| Find all providers in zip 02919 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497073894 | Usv Optical Inc. | Technician/Technologist | 200 Stone Hill Drive, Johnston, RI 02919 | 2010-05-10 |
| 1487855029 | Shalmar Eyes N Optics Inc. | Technician/Technologist | 1395 Atwood Ave, Ste 103, Johnston, RI 02919 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245578889 | Peter T Sharkey | Technician/Technologist | 1689 Post Rd, Warwick, RI 02888-5938 | 2013-01-16 |
| 1336312883 | Gregorys Optical | Technician/Technologist | 263 Wickenden St, Providence, RI 02903 | 2008-04-04 |
| 1588842496 | Collins Optical Center | Technician/Technologist | 3 Commerce St, Unit 5, Greenville, RI 02828 | 2008-02-01 |
| 1477767630 | Newport Optical Inc | Technician/Technologist | 1002 Broad St, Suite 7, Central Falls, RI 02863-1500 | 2007-05-09 |
| 1215061569 | Linda A Carpentier | Technician/Technologist | 110 Atwood Ave, Cranston, RI 02920-4130 | 2007-03-16 |
| 1609900034 | James Richard Schultz | Technician/Technologist | 1180 Park Ave, Cranston, RI 02910-3148 | 2007-03-15 |
| 1972665818 | Robert Leo Burgess | Technician/Technologist | 15 Touro St, Newport, RI 02840-2912 | 2006-12-15 |
| 1447326160 | Salvo J Libassi | Technician/Technologist | 130 Westminster St, Providence, RI 02903 | 2006-11-27 |
| 1275630519 | Michael Paul King | Technician/Technologist | King Opticians, 390 Tollgate Rd, Warwick, RI 02886 | 2006-09-20 |
| 1659482685 | William Tamboe | Technician/Technologist | 919 Smith St, Providence, RI 02908-2703 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.