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Contact Information

OPTOMETRIC PROVIDERS INC
726 1/2 BELMONT ST
BROCKTON, MA02301
 Phone: 508-587-9700
 Fax: 508-587-0646
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for OPTOMETRIC PROVIDERS INC

NPI Number 1629027941
LBN Legal business name OPTOMETRIC PROVIDERS INC
Authorized official ALERINO IACOBBO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MA Medicaid 9781048
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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