Active NPIIndividual providerSole proprietor

Dr. Andrew E Boraski, OD

Optometrist in Agawam, Massachusetts

NPI Number1164457362
Practice location
334 Walnut Street Ext, Agawam, MA 01001-1524
Fax
413-789-1877
Last updated
July 8, 2007

Andrew E Boraski is an Optometrist based in Agawam, MA. Andrew E Boraski practices in Agawam, MA and has the professional credentials of OD. The NPI Number for Andrew E Boraski is 1164457362 and holds a License No. 3125 (MA). The current practice location address for Andrew E Boraski is 334 Walnut Street Ext, Agawam, MA 01001-1524 and can be reached out via phone at 413-789-0031 and via fax at 413-789-1877.

Provider Profile Details

NPI Number
1164457362
Provider Name
Andrew E Boraski
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
334 Walnut Street Ext, Agawam, MA 01001-1524
Phone Number
413-789-0031
Fax Number
413-789-1877
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 12, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
334 Walnut Street Ext
Agawam, MA 01001-1524
City
Agawam
Zip
01001-1524
Phone Number
413-789-0031
Fax Number
413-789-1877
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
19 Pine Meadow Dr
Southampton, MA 01073-9701
City
Southampton
State
MA
Zip
01073-9701

License Information

License Number
3125
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. Andrew E Boraski, OD?

The NPI number of Dr. Andrew E Boraski, OD is 1164457362. It was assigned on July 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Andrew E Boraski, OD?

Dr. Andrew E Boraski, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 3125.

Where does Dr. Andrew E Boraski, OD practice?

The practice location is 334 Walnut Street Ext, Agawam, MA 01001-1524. The office can be reached at 413-789-0031 (phone) or 413-789-1877 (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 1164457362 directly on the NPPES registry website.

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