Cleary, Kathleen Monica

Cleary, Kathleen Monica is an sole proprietor health care provider with primary practice located at 470 Southern Artery , Quincy MA 02169-4614. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cleary, Kathleen Monica can be contacted via phone (617) 773-8050.

Contact Information

Primary practice address
470 Southern Artery Quincy MA 02169-4614
Fax: (617) 770-9453
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X MA3420 Massachusetts

Profile Details

NPI number 1972586022
LBN Legal business name Cleary, Kathleen Monica
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Jul 6th, 2010 - about 14 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 1972586022 NPPES
Massachusetts MEDICAID 0392154

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