Cammisa, John

Cammisa, John is an sole proprietor health care provider with primary practice located at 1624 Main St , Springfield MA 01103-1224. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cammisa, John can be contacted via phone (413) 737-3937.

Contact Information

Primary practice address
1624 Main St Springfield MA 01103-1224
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3583 Massachusetts

Profile Details

NPI number 1669592127
LBN Legal business name Cammisa, John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 17 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 1669592127 NPPES
Massachusetts Other W15914 BLUE CROSS,SHIELD,HMOBLUE
Massachusetts MEDICAID 0391751 BLUE CROSS,SHIELD,HMOBLUE

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