Dr. Mark E. Schiffman

Primary specialty

OptometristTaxonomy code 152W00000X

License

3180 Issued in MA

Legal business name

DR. MARK E. SCHIFFMAN

Practice address

120 Bradford St
Pob 212
Provincetown, MA 02657-1427

Phone

(508) 487-2227

NPI assigned

Mar 29, 2007

Last updated

Aug 22, 2020By 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

Dr. Mark E Schiffman, ODNPI 1366415713

Title

Owner

Phone

(508) 487-2227

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Edward Schiffman, O.D.

  • Optometrist
  • Provincetown, MA
  • NPI 1366415713
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487774139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRADFORD ST",
            "address_2": "POB 212",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571427",
            "telephone_number": "508-487-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BRADFORD ST",
            "address_2": "POB 212",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571427",
            "telephone_number": "508-487-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK E. SCHIFFMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHIFFMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-487-2227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "W20203",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9770852",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerome C Crepeau, M.D.
• Chelsea Crowe, LMHC
• CVS Pharmacy Inc (CVS Pharmacy #11131)
• Michael Domenic Defabrizio
• Joseph Thomas Demartino
• Michael Dubour, LMHC
• Timothy Joseph Duffy, PT, DPT
• Heather L Duncan, PA-C
• Catherine Marie Dunham
• Alison Bridget Dwyer, APRN

• Optometrist in Provincetown, MA
• Providers in Provincetown, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.