Active NPIIndividual provider

Dr. Michael K Edelstein, OD

Optometrist in Waltham, Massachusetts

NPI Number1043296213
Practice location
446 Moody St, Waltham, MA 02453-0415
Fax
781-894-4645
Last updated
April 2, 2008

Michael K Edelstein is an Optometrist based in Waltham, MA. Michael K Edelstein practices in Waltham, MA and has the professional credentials of OD. The NPI Number for Michael K Edelstein is 1043296213 and holds a License No. 2402 (MA). The current practice location address for Michael K Edelstein is 446 Moody St, Waltham, MA 02453-0415 and can be reached out via phone at 781-899-3200 and via fax at 781-894-4645.

Provider Profile Details

NPI Number
1043296213
Provider Name
Michael K Edelstein
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
446 Moody St, Waltham, MA 02453-0415
Phone Number
781-899-3200
Fax Number
781-894-4645
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
December 20, 2005
Last Update Date
April 2, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
446 Moody St
Waltham, MA 02453-0415
Zip
02453-0415
Phone Number
781-899-3200
Fax Number
781-894-4645
Waltham, MA 02453Get directions →

Provider Business Mailing Address Details

Address
Po Box 789
Ludlow, MA 01056-0789
City
Ludlow
State
MA
Zip
01056-0789
Phone Number
413-509-1000
Fax Number
413-509-1003

License Information

License Number (1)
2402
License State (1)
MA
Taxonomy (1)
Optometrist · 152W00000X · Primary
License Number (2)
2402TP
License State (2)
MA
Taxonomy (2)
Optometrist · 152W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael K Edelstein, OD?

The NPI number of Dr. Michael K Edelstein, OD is 1043296213. It was assigned on December 20, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael K Edelstein, OD?

Dr. Michael K Edelstein, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 2402.

Where does Dr. Michael K Edelstein, OD practice?

The practice location is 446 Moody St, Waltham, MA 02453-0415. The office can be reached at 781-899-3200 (phone) or 781-894-4645 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043296213 directly on the NPPES registry website.

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