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

Last updated

Feb 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

Dr. Mark D Robertson, ODNPI 1134294937

Title

Owner

Phone

(843) 661-0924

Specialties & licenses 1

Addresses

Locations

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 Douglas Robertson, O.D.

  • Optometrist
  • Florence, SC
  • NPI 1134294937
  Authorized official Same address or phone

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.