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Contact Information

NICOLE C ROSS, OD
930 COMMONWEALTH AVE
SUITE 2A
BOSTON, MA02215-1220
 Phone: 617-262-2020
 Fax: 617-236-6323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for NICOLE C ROSS · (Female)

NPI Number 1184903536
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/16/2011
Last updated 02/11/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 5047
  • MD License # TA2297
  • MA Medicaid 110100998A
  • MD Medicaid 055783800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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