Mark Siverd OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

78933OT Issued in LA

Legal business name

MARK SIVERD OD LLC

Practice address

880 N Highway 190
Covington, LA 70433-5147

Phone

(985) 635-6943

Fax

(985) 635-6948

NPI assigned

Feb 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mark Siverd, ODNPI 1871690883

Title

Optometrist

Phone

(985) 635-6943

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Siverd, O.D.

  • Optometrist
  • Covington, LA
  • NPI 1871690883
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1639419328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PRESIDENT MADISON DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479486",
            "telephone_number": "985-635-6943",
            "fax_number": "985-635-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 N HIGHWAY 190",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335147",
            "telephone_number": "985-635-6943",
            "fax_number": "985-635-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SIVERD OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "SIVERD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "985-635-6943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "78933OT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetrius M Maraganore, M.D.
• Deairea Marchand, LOT
• Richard G Marek Jr., MD
• Jon William Mares, D.O.
• Julianna Marie Maricelli
• Amy Pollard Marshall, P.T.A.
• Maximino Martell, APRN, CCNS, RN, MSN
• Jeanine M Martin, DO
• Misty Danielle Martin, FNP
• Angie Martinez, CSFA

• Optometrist in Covington, LA
• Providers in Covington, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.