Fantazian, James Hovannes
Fantazian, James Hovannes is an individual health care provider with primary practice located at 247 Boston Rd , N Billerica MA 01862. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fantazian, James Hovannes can be contacted via phone (978) 667-6151.Contact Information
Primary practice address
247 Boston Rd
N Billerica MA 01862
Phone: (978) 667-6151
Fax: (978) 667-4422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2093 | Massachusetts |
Profile Details
| NPI number | 1225139744 |
|---|---|
| LBN Legal business name | Fantazian, James Hovannes |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225139744 | NPPES |
| Massachusetts | MEDICAID | 0304999 |
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