Active NPIIndividual provider

Matthew Philibin, OD

Optometrist in Randolph, Massachusetts

NPI Number1245756014
Practice location
27 Memorial Pkwy, Randolph, MA 02368-4539
Fax
781-986-5201
Last updated
February 8, 2022

Matthew Philibin is an Optometrist based in Randolph, MA. Matthew Philibin practices in Randolph, MA and has the professional credentials of OD. The NPI Number for Matthew Philibin is 1245756014 and holds a License No. 5330 (MA). The current practice location address for Matthew Philibin is 27 Memorial Pkwy, Randolph, MA 02368-4539 and can be reached out via phone at 781-986-7400 and via fax at 781-986-5201.

Provider Profile Details

NPI Number
1245756014
Provider Name
Matthew Philibin
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
27 Memorial Pkwy, Randolph, MA 02368-4539
Phone Number
781-986-7400
Fax Number
781-986-5201
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
August 14, 2017
Last Update Date
February 8, 2022
Certification Date
February 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 Memorial Pkwy
Randolph, MA 02368-4539
Zip
02368-4539
Phone Number
781-986-7400
Fax Number
781-986-5201
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
1950 Old Gallows RD Ste 520
Vienna, VA 22182-3970
City
Vienna
State
VA
Zip
22182-3970
Phone Number
703-847-8899
Fax Number
571-223-6780

License Information

License Number
5330
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 Matthew Philibin, OD?

The NPI number of Matthew Philibin, OD is 1245756014. It was assigned on August 14, 2017 and is currently active in the NPPES registry.

What is the specialty of Matthew Philibin, OD?

Matthew Philibin, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5330.

Where does Matthew Philibin, OD practice?

The practice location is 27 Memorial Pkwy, Randolph, MA 02368-4539. The office can be reached at 781-986-7400 (phone) or 781-986-5201 (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 1245756014 directly on the NPPES registry website.

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