Active NPIIndividual provider

Manish Shah, OD

Optometrist in East Boston, Massachusetts

NPI Number1255483657
Practice location
10 Gove St, East Boston, MA 02128-1920
Fax
617-568-4756
Last updated
June 12, 2020

Manish Shah is an Optometrist based in East Boston, MA. Manish Shah practices in East Boston, MA and has the professional credentials of OD. The NPI Number for Manish Shah is 1255483657 and holds a License No. 4322 (MA). The current practice location address for Manish Shah is 10 Gove St, East Boston, MA 02128-1920 and can be reached out via phone at 617-568-5800 and via fax at 617-568-4756.

Provider Profile Details

NPI Number
1255483657
Provider Name
Manish Shah
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
10 Gove St, East Boston, MA 02128-1920
Phone Number
617-568-5800
Fax Number
617-568-4756
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
January 17, 2007
Last Update Date
June 12, 2020
Certification Date
June 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Gove St
East Boston, MA 02128-1920
Zip
02128-1920
Phone Number
617-568-5800
Fax Number
617-568-4756
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
10 Gove St
East Boston, MA 02128-1920
City
East Boston
State
MA
Zip
02128-1920
Phone Number
617-568-5800
Fax Number
617-568-4756

License Information

License Number
4322
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 Manish Shah, OD?

The NPI number of Manish Shah, OD is 1255483657. It was assigned on January 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Manish Shah, OD?

Manish Shah, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 4322.

Where does Manish Shah, OD practice?

The practice location is 10 Gove St, East Boston, MA 02128-1920. The office can be reached at 617-568-5800 (phone) or 617-568-4756 (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 1255483657 directly on the NPPES registry website.

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