Dr. Leo Donovan

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

3107 Issued in MA

Legal business name

DR. LEO DONOVAN

Practice address

19 Webster SQ
Marshfield, MA 02050-3468

Phone

(781) 837-5800

Fax

(781) 837-5889

NPI assigned

Jan 30, 2008

Last updated

Mar 13, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leo W Donovan, OD

Title

Owner

Phone

(781) 837-5800

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1356528418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WEBSTER SQ",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020503468",
            "telephone_number": "781-837-5800",
            "fax_number": "781-837-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WEBSTER SQ",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020503468",
            "telephone_number": "781-837-5800",
            "fax_number": "781-837-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEO DONOVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-837-5800",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "3107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Marshfield, MA
• Providers in Marshfield, MA by specialty
• Eyewear Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.