Mark Edward Schiffman, O.D.
Individual provider Active NPI Optometrist · Provincetown, MA
NPI 1366415713 · NPPES record last updated May 13, 2008
Key facts
- NPI
- 1366415713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3180 (MA)
- Practice address
- 120 Bradford St.
Pob 212,
Provincetown, MA 02657-0212 - Phone
- (508) 487-2227
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3180 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Mark E. Schiffman | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3180 | MA | Yes |
Addresses
Primary practice location
120 Bradford St.
Pob 212,
Provincetown, MA 02657-0212
Mailing address
120 Bradford St.
PO Box 212,
Provincetown, MA 02657-0212
Phone (508) 487-2227
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9770852 | Medicaid | MA | |
| 0353795 | Medicaid | MA |
Other providers in Provincetown, MA
- Aneta Roderick
- Susan H. Roderick
- Matthew William Ruble
- Jonathan Scott Runge
- Piotr Sapinski
- Seashore Point
- Seashore Point - Deaconess Inc
- Seashore Point Wellness and Rehab
- Seashore Point-Deaconess, Inc.
- Seashore Pointe Rehab Center LLC
All providers in Provincetown, MA · Optometrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.