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
Phone: (781) 391-1195
Fax: (781) 395-7875
Website:
Authorized official contact:
Name: Iraca, Anthony Walter Doctor of Optometry (OD)
Phone: (781) 391-1195
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396933826 | NPPES |
Massachusetts | Other | W20411 | BCBS |
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