Zaki, Victor Boutros
Zaki, Victor Boutros is an sole proprietor health care provider with primary practice located at 250 Granite St , Braintree MA 02184-2804. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Zaki, Victor Boutros can be contacted via phone (781) 356-0111.Contact Information
Primary practice address
250 Granite St
Braintree MA 02184-2804
Phone: (781) 356-0111
Fax: (781) 848-6880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3908 | Massachusetts |
Profile Details
| NPI number | 1487711057 |
|---|---|
| LBN Legal business name | Zaki, Victor Boutros |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1487711057 | NPPES |
| Massachusetts | Other | 0005001031 | AETNA |
| Massachusetts | Other | AA31492 | AETNA |
| Massachusetts | Other | MA3908 | AETNA |
| Massachusetts | Other | W16040 | AETNA |
| Massachusetts | MEDICAID | 0369373 | AETNA |
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