Defreitas, Carlos R.
Defreitas, Carlos R. is an individual health care provider with primary practice located at 500 Faunce Corner Rd Suite 110, North Dartmouth MA 02747-1278. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Defreitas, Carlos R. can be contacted via phone (508) 717-0270.Contact Information
Primary practice address
500 Faunce Corner Rd Suite 110
North Dartmouth MA 02747-1278
Phone: (508) 717-0270
Fax: (508) 995-3060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTG00461 | Rhode Island |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3839 | Massachusetts |
Profile Details
| NPI number | 1336136894 |
|---|---|
| LBN Legal business name | Defreitas, Carlos R. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Jul 13th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336136894 | NPPES |
| Massachusetts | MEDICAID | 0369969 | |
| Massachusetts | MEDICAID | 9007998 | |
| Massachusetts | Other | W16157 |
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