Boucher'S Opticians Of Brockton, Inc.
LBN: Boucher'S Opticians Of Brockton, Inc.
Boucher'S Opticians Of Brockton, Inc. is an health care organization with primary practice located at 727 Belmont Street , Brockton MA 02301-5666. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty.
Boucher'S Opticians Of Brockton, Inc. can be contacted via phone (508) 586-2725, or through Foote, Timothy Marshall via phone (508) 586-2725.
Contact Information
Primary practice address
727 Belmont Street
Brockton MA 02301-5666
Phone: (508) 586-2725
Fax: (508) 586-2770
Website:
Authorized official contact:
Name: Foote, Timothy Marshall REGISTERED DISPENSIN
Phone: (508) 586-2725
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 1615 | Massachusetts |
Profile Details
| NPI number | 1659543882 |
|---|---|
| LBN Legal business name | Boucher'S Opticians Of Brockton, Inc. |
| DBA Doing business as | |
| Authorized official | Foote, Timothy Marshall REGISTERED DISPENSIN |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 27th, 2008 |
| Last updated | Sep 24th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659543882 | NPPES |
| Massachusetts | Other | 1506773 | MASSHEALTH PROVIDER |
| Massachusetts | Other | 03306908387 | MASSHEALTH PROVIDER |
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