Provider Demographics
NPI:1609846419
Name:HOVANDER, MARK (OD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:
Last Name:HOVANDER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4115 UNIVERSITY WAY NE
Mailing Address - Street 2:#101
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-6257
Mailing Address - Country:US
Mailing Address - Phone:206-633-2000
Mailing Address - Fax:206-633-4857
Practice Address - Street 1:4115 UNIVERSITY WAY NE
Practice Address - Street 2:#101
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-6257
Practice Address - Country:US
Practice Address - Phone:206-633-2000
Practice Address - Fax:206-633-4857
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1860TX152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management