Dr.Mark D.Robertson,OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

SC08874 Issued in SC

Legal business name

DR.MARK D.ROBERTSON,OD

Practice address

2701 David McLeod Boulevard
C/O Lenscrafters
Florence, SC 29501-4028

Phone

(843) 661-0924

Fax

(843) 661-0926

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Robertson, OD

Title

Owner

Phone

(843) 661-0924

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1740458744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DAVID MCLEOD BLVD",
            "address_2": "C/O LENSCRAFTERS",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014028",
            "telephone_number": "843-661-0924",
            "fax_number": "843-661-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DAVID MCLEOD BOULEVARD",
            "address_2": "C/O LENSCRAFTERS",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014028",
            "telephone_number": "843-661-0924",
            "fax_number": "843-661-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.MARK D.ROBERTSON,OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-661-0924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC08874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faye J Dowling, CNA
• Sarah Elizabeth J Dowling, RN
• Annie Doyle
• Kathryn Dozier, OTR/L
• Samuel G Dozier, MD
• Abbey Kennedy Driggers, PA-C
• Heather Driggers
• DRS. Moss and Sang LLC
• DRS. Padgett, Allen and Cates
• DRS. Phillips and Coker

• Optometrist in Florence, SC
• Providers in Florence, SC by specialty
• Optometrist in South Carolina

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