Active NPIIndividual providerSole proprietor

Dr. Jeanine Prevost, OD

Optometrist in Somerset, Massachusetts

NPI Number1083614838
Practice location
1287 Wilbur Ave, Somerset, MA 02725-1816
Fax
—
Last updated
June 18, 2010

Jeanine Prevost is an Optometrist based in Somerset, MA. Jeanine Prevost practices in Somerset, MA and has the professional credentials of OD. The NPI Number for Jeanine Prevost is 1083614838 and holds a License No. 3366 (MA). The current practice location address for Jeanine Prevost is 1287 Wilbur Ave, Somerset, MA 02725-1816 and can be reached out via phone at 508-673-2140.

Provider Profile Details

NPI Number
1083614838
Provider Name
Jeanine Prevost
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
1287 Wilbur Ave, Somerset, MA 02725-1816
Phone Number
508-673-2140
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 22, 2005
Last Update Date
June 18, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1287 Wilbur Ave
Somerset, MA 02725-1816
Zip
02725-1816
Phone Number
508-673-2140
Somerset, MA 02725Get directions →

Provider Business Mailing Address Details

Address
1287 Wilbur Ave
Somerset, MA 02725-1816
City
Somerset
State
MA
Zip
02725-1816
Phone Number
508-676-2140

License Information

License Number
3366
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

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. Jeanine Prevost, OD?

The NPI number of Dr. Jeanine Prevost, OD is 1083614838. It was assigned on July 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeanine Prevost, OD?

Dr. Jeanine Prevost, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 3366.

Where does Dr. Jeanine Prevost, OD practice?

The practice location is 1287 Wilbur Ave, Somerset, MA 02725-1816. The office can be reached at 508-673-2140 (phone).

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 1083614838 directly on the NPPES registry website.

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