Optometric Providers Inc

LBN: Optometric Providers Inc
Optometric Providers Inc is an health care organization with primary practice located at 100 State St , Boston MA 02109. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Optometric Providers Inc can be contacted via phone (617) 742-2076, or through Iacobbo, Alerino M via phone (314) 446-3145.

Contact Information

Primary practice address
100 State St Boston MA 02109
Phone: (617) 742-2076
Fax: (617) 557-9276
Website:
Map and Directions
Authorized official contact:
Name: Iacobbo, Alerino M Doctor of Optometry (OD)
Phone: (314) 446-3145

Health care specialties

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

Profile Details

NPI number 1790734010
LBN Legal business name Optometric Providers Inc
DBA Doing business as
Authorized official Iacobbo, Alerino M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790734010 NPPES
Massachusetts MEDICAID 9781048

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