Active NPIIndividual providerSole proprietor

Dr. Deborah E Bettencourt, OD

Optometrist in West Boylston, Massachusetts

NPI Number1114023157
Practice location
360 W Boylston St, West Boylston, MA 01583-2365
Fax
—
Last updated
July 8, 2007

Deborah Elaine Bettencourt is an Optometrist based in West Boylston, MA. Deborah Elaine Bettencourt practices in West Boylston, MA and has the professional credentials of OD. The NPI Number for Deborah Elaine Bettencourt is 1114023157 and holds a License No. 3219 (MA). The current practice location address for Deborah Elaine Bettencourt is 360 W Boylston St, West Boylston, MA 01583-2365 and can be reached out via phone at 508-854-0595.

Provider Profile Details

NPI Number
1114023157
Provider Name
Deborah Elaine Bettencourt
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
360 W Boylston St, West Boylston, MA 01583-2365
Phone Number
508-854-0595
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 16, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
360 W Boylston St
West Boylston, MA 01583-2365
Zip
01583-2365
Phone Number
508-854-0595
West Boylston, MA 01583Get directions →

Provider Business Mailing Address Details

Address
6 Calvins Ln
Sterling, MA 01564-2213
City
Sterling
State
MA
Zip
01564-2213
Phone Number
978-422-7889

License Information

License Number
3219
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. Deborah E Bettencourt, OD?

The NPI number of Dr. Deborah E Bettencourt, OD is 1114023157. It was assigned on September 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Deborah E Bettencourt, OD?

Dr. Deborah E Bettencourt, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 3219.

Where does Dr. Deborah E Bettencourt, OD practice?

The practice location is 360 W Boylston St, West Boylston, MA 01583-2365. The office can be reached at 508-854-0595 (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 1114023157 directly on the NPPES registry website.

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