Individual
DR. MARK SIVERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
880 N HIGHWAY 190, COVINGTON, LA 70433-5147
(985) 867-8708
(985) 867-8711
Mailing address
1318 S JAHNCKE AVE, COVINGTON, LA 70433-3930
(985) 338-6453
(985) 867-8711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
789330T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1173061
—
LA
Enumeration date
09/20/2006
Last updated
04/06/2026
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