IndividualActive
Mark Donovan
NPI 1568736775 · Optician · South Boston, MA
Mark Donovan is a Optician provider in South Boston, MA (NPI 1568736775).
Provider details
- NPI number
- 1568736775
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4282 (MA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
666 E Broadway
South Boston, MA 02127-1502
Phone: (617) 239-4354
Fax: (617) 268-2805
Street-level locationGet directions
Mailing address
666 E Broadway
South Boston, MA 02127-1502
Registry dates
- Enumerated
- 2012-03-06
- Last updated
- 2012-03-06
Frequently asked questions
- What is Mark Donovan's NPI number?
- Mark Donovan's National Provider Identifier (NPI) is 1568736775, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Donovan's specialty?
- Mark Donovan is listed in the NPPES registry with a primary specialty of Optician (Eye and Vision Services Providers).
- Where is Mark Donovan located?
- Mark Donovan's practice location on file with NPPES is 666 E Broadway, South Boston, MA 02127-1502.
- What is Mark Donovan's phone number?
- The practice phone number listed in the NPPES registry for Mark Donovan is (617) 239-4354.
- Is Mark Donovan's NPI active?
- Yes — Mark Donovan's NPI (1568736775) is active in the NPPES registry as of the last update on 2012-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.