Dr Anthony W Iraca Of Medford Inc

LBN: Dr Anthony W Iraca Of Medford Inc
Dr Anthony W Iraca Of Medford Inc is an health care organization with primary practice located at 4110 Mystic Valley Parkway , Medford MA 02155. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Dr Anthony W Iraca Of Medford Inc can be contacted via phone (781) 391-1195, or through Iraca, Anthony Walter via phone (781) 391-1195.

Contact Information

Primary practice address
4110 Mystic Valley Parkway Medford MA 02155
Fax: (781) 395-7875
Website:
Authorized official contact:
Name: Iraca, Anthony Walter Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3432 Massachusetts
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 3432 Massachusetts

Profile Details

NPI number 1396933826
LBN Legal business name Dr Anthony W Iraca Of Medford Inc
DBA Doing business as
Authorized official Iraca, Anthony Walter Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2007
Last updated Oct 10th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396933826 NPPES
Massachusetts Other W20411 BCBS

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