Judy Bavongkhoun, OD
Optometrist in Lancaster, Massachusetts
1104374628- Practice location
- 479 Old Union Tpke, Lancaster, MA 01523-3029
- Phone
- 978-537-3900
- Fax
- 978-537-6030
- Last updated
- September 13, 2016
Judy Bavongkhoun is an Optometrist based in Lancaster, MA. Judy Bavongkhoun practices in Lancaster, MA and has the professional credentials of OD. The NPI Number for Judy Bavongkhoun is 1104374628 and holds a License No. 5176 (MA). The current practice location address for Judy Bavongkhoun is 479 Old Union Tpke, Lancaster, MA 01523-3029 and can be reached out via phone at 978-537-3900 and via fax at 978-537-6030.
Provider Profile Details
- NPI Number
- 1104374628
- Provider Name
- Judy Bavongkhoun
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 479 Old Union Tpke, Lancaster, MA 01523-3029
- Phone Number
- 978-537-3900
- Fax Number
- 978-537-6030
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 13, 2016
- Last Update Date
- September 13, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 479 Old Union Tpke
Lancaster, MA 01523-3029 - City
- Lancaster
- State
- Massachusetts
- Zip
- 01523-3029
- Phone Number
- 978-537-3900
- Fax Number
- 978-537-6030
Provider Business Mailing Address Details
- Address
- 479 Old Union Tpke
Lancaster, MA 01523-3029 - City
- Lancaster
- State
- MA
- Zip
- 01523-3029
- Phone Number
- 978-537-3900
- Fax Number
- 978-537-6030
License Information
- License Number
- 5176
- 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 Lancaster, MA
View all Optometrists in Lancaster →Frequently Asked Questions
What is the NPI number of Judy Bavongkhoun, OD?
The NPI number of Judy Bavongkhoun, OD is 1104374628. It was assigned on September 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Judy Bavongkhoun, OD?
Judy Bavongkhoun, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5176.
Where does Judy Bavongkhoun, OD practice?
The practice location is 479 Old Union Tpke, Lancaster, MA 01523-3029. The office can be reached at 978-537-3900 (phone) or 978-537-6030 (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 1104374628 directly on the NPPES registry website.