Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark A Havera, OD

Individual provider Optometrist · NPI 1306125166

Mark A Havera, OD is an Optometry in Edwardsville, Illinois. Qualified in 2011, 15 years ago. Practices with Havera Eye Care Specialists LLC, a 2-clinician group. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

6663 Edwardsville Crossing Dr Ste B
Edwardsville, IL 62025-2704
Phone: (618) 659-2320
Fax: (618) 655-0375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046010454 (IL)

Record details

NPI number1306125166
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 11, 2011
Last updated in NPPESOctober 2, 2014
Mailing address40 E North St, Eureka, MO 63025-1205

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Havera Eye Care Specialists Llc — 2 clinicians
Accepts Medicare assignment Not indicated

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