Dr. Paul C Distefano, OD
Optometrist in Tewksbury, Massachusetts
1073689584- Practice location
- 333 Main St, Tewksbury, MA 01876-1727
- Phone
- 978-851-7457
- Fax
- 978-851-7138
- Last updated
- July 8, 2007
Paul Charles Distefano is an Optometrist based in Tewksbury, MA. Paul Charles Distefano practices in Tewksbury, MA and has the professional credentials of OD. The NPI Number for Paul Charles Distefano is 1073689584 and holds a License No. 2439 (MA). The current practice location address for Paul Charles Distefano is 333 Main St, Tewksbury, MA 01876-1727 and can be reached out via phone at 978-851-7457 and via fax at 978-851-7138.
Provider Profile Details
- NPI Number
- 1073689584
- Provider Name
- Paul Charles Distefano
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 333 Main St, Tewksbury, MA 01876-1727
- Phone Number
- 978-851-7457
- Fax Number
- 978-851-7138
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 27, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 333 Main St
Tewksbury, MA 01876-1727 - City
- Tewksbury
- State
- Massachusetts
- Zip
- 01876-1727
- Phone Number
- 978-851-7457
- Fax Number
- 978-851-7138
Provider Business Mailing Address Details
- Address
- 333 Main St
Tewksbury, MA 01876-1727 - City
- Tewksbury
- State
- MA
- Zip
- 01876-1727
- Phone Number
- 978-851-7457
- Fax Number
- 978-851-7138
License Information
- License Number
- 2439
- License State
- MA
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Tewksbury, MA
View all Optometrists in Tewksbury →Frequently Asked Questions
What is the NPI number of Dr. Paul C Distefano, OD?
The NPI number of Dr. Paul C Distefano, OD is 1073689584. It was assigned on November 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Paul C Distefano, OD?
Dr. Paul C Distefano, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 2439.
Where does Dr. Paul C Distefano, OD practice?
The practice location is 333 Main St, Tewksbury, MA 01876-1727. The office can be reached at 978-851-7457 (phone) or 978-851-7138 (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 1073689584 directly on the NPPES registry website.