Maciaszek, Kim Mcgillicuddy

Maciaszek, Kim Mcgillicuddy is an sole proprietor health care provider with primary practice located at 426 N Main St , East Longmeadow MA 01028-1850. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Maciaszek, Kim Mcgillicuddy can be contacted via phone (413) 525-3010.

Contact Information

Primary practice address
426 N Main St East Longmeadow MA 01028-1850
Phone: (413) 525-3010
Fax: (413) 525-7667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3760 Massachusetts

Profile Details

NPI number 1871577254
LBN Legal business name Maciaszek, Kim Mcgillicuddy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Mar 29th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871577254 NPPES
Other W17219 MEDICARE B
Other 60892 MEDICARE B
Other 042472266 MEDICARE B
Other 786726 MEDICARE B
Other AA2839 MEDICARE B
Other 2212894 MEDICARE B
Other W16304 MEDICARE B
Other 042472266 MEDICARE B
Other 042472266015 MEDICARE B
Other 410046213 MEDICARE B
MEDICAID 0335622 MEDICARE B
Other 7252603 MEDICARE B
Other 8974875 MEDICARE B

Popular Providers