Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568736775 Individual Practitioner Male Practitioner

Mark Thomas Donovan

Technician/Technologist - Optician • South Boston, MA

Professional Overview & Biography Verified Profile Summary

Mark Donovan is a registered healthcare professional specializing in Technician/Technologist - Optician in South Boston, MA. Practice services are available at 666 E BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

666 E Broadway

South Boston, MA 021271502

Telephone 6172394354
Fax 6172682805

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in South Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in South Boston, MA (309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License MA 4282

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Davis
35531 (MA)
Commercial Insurance / Payer ID Spectra
03149 (MA)
Commercial Insurance / Payer ID Eyemed
A08896 (MA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 06, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2012

Registered at 666 E BROADWAY, SOUTH BOSTON, MA 021271502 (Tel: 6172394354)

📍
Updated Business Mailing Address March 06, 2012

Registered at 666 E BROADWAY, SOUTH BOSTON, MA 021271502 (Tel: 6172394354)

👤
Provider Name / Credentials Updated March 06, 2012

Recorded as MARK DONOVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2012

Technician/Technologist (License #4282 in MA)

🟢
Initial NPI Registration & Enumeration March 06, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568736775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2012
Last Update: March 06, 2012
Sole Proprietor: Yes

Mailing Address

666 E Broadway

South Boston, MA 021271502

Phone: 6172394354

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.