Hyde, Jennifer

Hyde, Jennifer is an individual health care provider with primary practice located at 495 Western Ave , Brighton MA 02135-1007. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Hyde, Jennifer can be contacted via phone (161) 787-0743.

Contact Information

Primary practice address
495 Western Ave Brighton MA 02135-1007
Phone: (161) 787-0743
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 6636 Massachusetts

Profile Details

NPI number 1669969143
LBN Legal business name Hyde, Jennifer
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2018
Last updated Apr 19th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669969143 NPPES
Massachusetts MEDICAID 1487664884
Massachusetts Other 148766884

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