Organization
HAVERA EYE CARE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A HAVERA O.D. (OPTOMETRIST)
(618) 344-0511
Entity
Organization
Contact information
Practice address
119 N MORRISON AVE, COLLINSVILLE, IL 62234-3226
(618) 344-0511
(618) 344-0545
Mailing address
2701 FIELDSTONE DR, MARYVILLE, IL 62062-6436
(217) 259-9023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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