Basile, Belisa Ann

Basile, Belisa Ann is an individual health care provider with primary practice located at 8 Center Square , E Longmeadow MA 01028. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Basile, Belisa Ann can be contacted via phone (413) 525-2900.

Contact Information

Primary practice address
8 Center Square E Longmeadow MA 01028
Phone: (413) 525-2900
Fax: (413) 525-2900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 043006404 Massachusetts

Profile Details

NPI number 1609939784
LBN Legal business name Basile, Belisa Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Mar 7th, 2023 - about 2 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 1609939784 NPPES
Other MA3171 EYEMED
MEDICAID 0354031 EYEMED
Other 701146 EYEMED
Other 10464 EYEMED
Other 43006404 EYEMED
Other 765665 EYEMED
Other 14703 EYEMED
Other 765665 EYEMED
Other 151420 EYEMED
Other W15737 EYEMED

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