Ciaccio, Paul Richard

Ciaccio, Paul Richard is an sole proprietor health care provider with primary practice located at 56 Main St , Orleans MA 02653-9998. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ciaccio, Paul Richard can be contacted via phone (508) 255-0444.

Contact Information

Primary practice address
56 Main St Orleans MA 02653-9998
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2724 Massachusetts

Profile Details

NPI number 1003998527
LBN Legal business name Ciaccio, Paul Richard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Feb 1st, 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 1003998527 NPPES
Massachusetts Other W15423 BCBS OF MASS
Massachusetts MEDICAID 0335428 BCBS OF MASS
Massachusetts Other 0678590001 BCBS OF MASS

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