SearchVirginia152W00000X

Mark Livaditis, O.D

NPI 1427193267 · on the registry since 2007 · sole proprietor

Practice

Address
5250 Port Royal Rd # G
Springfield, VA 22151
Phone
(703) 321-7780
Fax
(703) 321-2205

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia