Mooney, John Thomas
Mooney, John Thomas is an sole proprietor health care provider with primary practice located at 23 Mill St , Leominster MA 01453-3243. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mooney, John Thomas can be contacted via phone (978) 537-5546.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3448 | Massachusetts |
Profile Details
| NPI number | 1730283292 |
|---|---|
| LBN Legal business name | Mooney, John Thomas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Jun 24th, 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 | 1730283292 | NPPES |
| Massachusetts | Other | W15755 | BC/BS |
| Massachusetts | MEDICAID | 0354244 | BC/BS |
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