Audycki, Robert A

Audycki, Robert A is an individual health care provider with primary practice located at 535 Faunce Corner Rd Optomeyes Health,Pc, N Dartmouth MA 02747-1242. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Audycki, Robert A can be contacted via phone (774) 202-6888.

Contact Information

Primary practice address
535 Faunce Corner Rd Optomeyes Health,Pc N Dartmouth MA 02747-1242
Phone: (774) 202-6888
Fax: (774) 992-0188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 4134 Massachusetts

Profile Details

NPI number 1689673428
LBN Legal business name Audycki, Robert A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Mar 16th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689673428 NPPES
Massachusetts MEDICAID 0317497

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