Herron, David John
Herron, David John is an individual health care provider with primary practice located at 250 Granite St Suite 2069, Braintree MA 02184-2804. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Herron, David John can be contacted via phone (781) 849-9944.Contact Information
Primary practice address
250 Granite St Suite 2069
Braintree MA 02184-2804
Phone: (781) 849-9944
Fax: (781) 848-1023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | MA3190 | Massachusetts |
Profile Details
| NPI number | 1093788242 |
|---|---|
| LBN Legal business name | Herron, David John |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Apr 22nd, 2008 - about 17 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 | 1093788242 | NPPES |
| Massachusetts | Other | W15730 | BCBS |
| Massachusetts | MEDICAID | 0353086 | BCBS |
| Massachusetts | Other | 150936 | BCBS |
| Massachusetts | Other | 763496 | BCBS |
| Massachusetts | Other | B20925201 | BCBS |
| Massachusetts | Other | 08474 | BCBS |
| Massachusetts | Other | 2200359 | BCBS |
| Massachusetts | Other | MA3190 | BCBS |
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