Organization
MARK SIVERD OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SIVERD OD (OPTOMETRIST)
(985) 635-6943
Entity
Organization
Contact information
Practice address
880 N HIGHWAY 190, COVINGTON, LA 70433-5147
(985) 635-6943
(985) 635-6948
Mailing address
119 PRESIDENT MADISON DR, MADISONVILLE, LA 70447-9486
(985) 635-6943
(985) 635-6948
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
78933OT
LA
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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