Martino, Richard Charles

Martino, Richard Charles is an sole proprietor health care provider with primary practice located at 144 Angell Brook Dr , West Boylston MA 01583-2120. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Martino, Richard Charles can be contacted via phone (774) 261-8595.

Contact Information

Primary practice address
144 Angell Brook Dr West Boylston MA 01583-2120
Fax: (774) 261-8595
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2365 Massachusetts

Profile Details

NPI number 1134112733
LBN Legal business name Martino, Richard Charles
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Feb 4th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134112733 NPPES
Massachusetts MEDICAID 0328073

Popular Providers