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Contact Information

JENNIFER DAMICO OCONNOR
355 N MAIN ST
NORTH BROOKFIELD, MA01535
 Phone: 508-867-3755
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for JENNIFER DAMICO OCONNOR

NPI # 1689863623
LBN Legal business name JENNIFER DAMICO OCONNOR
Authorized official JENNIFER OCONNOR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2007
Last updated 07/10/2008 - About 18 years ago
Identifiers
MA License # 3785
MA License # 3786
MA Medicaid 9777385
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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