MR. MARK THOMAS DONOVAN (NPI# 1568736775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568736775 |
| Entity Type | Individual |
| Full Name | MR. MARK THOMAS DONOVAN |
| Practice Address |
666 E Broadway South Boston MA 02127-1502 |
| Practice Telephone | 6172394354 |
| Practice Fax Number | 6172682805 |
| Mailing Telephone | 6172394354 |
| Mailing Fax Number | 6172682805 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
4282 | MA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DAVIS | 35531 | 01 |
| MA | SPECTRA | 03149 | 01 |
| MA | EYEMED | A08896 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909730 | Mark David Donovan | Counselor | 10630 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044-3264 | 2005-08-11 |
| 1457695546 | Mark N Donovan | Surgery | 2801 Nw Mercy Dr Ste 330, Roseburg, OR 97471 | 2012-11-15 |
| 1629217633 | Mark James Donovan | Chiropractor | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2009-02-13 |
| 1922168814 | Mark T Donovan | Dentist | 150 N Pantano Rd, Suite 100, Tucson, AZ 85710 | 2006-12-11 |
| 1417952250 | Mark L Donovan | Pediatrics | 301 Med Tech Pkwy, Ste. 160, Johnson City, TN 37604-2364 | 2005-06-17 |
| Street Address |
666 E BROADWAY |
| City | SOUTH BOSTON |
| State | MA |
| Zip Code | 02127-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
| 1568964914 | Phuong Luu | Nurse Practitioner | 606 E Fourth St, Unit 204, Boston, MA 02127 | 2018-03-01 |
| 1700304367 | Kelsey L Donovan | Physician Assistant | 431 E 3rd Street Apt 2, Boston, MA 02127 | 2017-09-05 |
| 1255873733 | Janet Villafane | Social Worker | 23 Mcdonough Way, 691, Boston, MA 02127 | 2016-11-15 |
| 1083088470 | Katie Ryan | Counselor | 8 Rev Burke Street #151, South Boston, MA 02127 | 2015-11-23 |
| 1184005514 | Keith A Lombard | Counselor | 1226a Columbia Rd., South Boston, MA 02127 | 2015-06-11 |
| 1609213917 | Nicole Ashley Vandermay | Student in an Organized Health Care Education/Training Program | 9 Woodward St, Apt. 3, Boston, MA 02127 | 2013-05-28 |
| 1922359777 | Elizabeth Raggi | Counselor | 49 L Street, South Boston, MA 02127 | 2012-09-19 |
| 1205181021 | Massachusetts General Hospital | General Acute Care Hospital | 256 West Sixth Street Apt 2, South Boston, MA 02127 | 2012-07-18 |
| 1154602126 | Madeline F Brisotti | Counselor | 8 Reverend Burke Steet, South Boston, MA 02127 | 2011-09-06 |
| Find all providers in zip 02127 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013005222 | Va Opticians Inc | Technician/Technologist | 3324 Halifax Rd, South Boston, VA 24592 | 2006-10-11 |
| 1336225549 | Wal-mart Stores East, Lp | Technician/Technologist | 3471 Old Halifax Rd, South Boston, VA 24592-4936 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473560 | Irma Montanez | Technician/Technologist | 71 Lyndale St, Springfield, MA 01108-2410 | 2020-10-05 |
| 1609491331 | David Miller | Technician/Technologist | 10 Merrimack St, Lowell, MA 01852-1722 | 2020-06-09 |
| 1538718796 | Lauren Downey | Technician/Technologist | 40 Industrial Park Rd # 202, Plymouth, MA 02360-4884 | 2019-09-10 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689161846 | Andrew Metz | Technician/Technologist | 188 Park Ave, Worcester, MA 01609-2240 | 2018-04-13 |
| 1144720301 | See South End Inc | Technician/Technologist | 681 Tremont St Unit 1, Boston, MA 02118-1281 | 2018-02-14 |
| 1528570702 | Michael Josef Leduc | Technician/Technologist | 73 Home St Apt 1, Fall River, MA 02720-5315 | 2017-10-28 |
| 1235649955 | Nickolas Linna | Technician/Technologist | 120 East St, Ludlow, MA 01056-3409 | 2017-10-08 |
| 1750819991 | Eye Center Optical, Inc. | Technician/Technologist | 13 Walnut Street, Winchendon, MA 01475 | 2017-06-01 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 02127 |
Please comment or provide details below to improve the information on MR. MARK THOMAS DONOVAN.
| 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.