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

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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