Active NPIIndividual provider

Dr. Derek Sturtevant, OD

Optometrist in Florence, Massachusetts

NPI Number1275885519
Practice location
40 Main St Ste 106, Florence, MA 01062-3100
Fax
413-584-4346
Last updated
August 30, 2021

Derek Sturtevant is an Optometrist based in Florence, MA. Derek Sturtevant practices in Florence, MA and has the professional credentials of OD. The NPI Number for Derek Sturtevant is 1275885519 and holds a License No. OD60567880 (WA). The current practice location address for Derek Sturtevant is 40 Main St Ste 106, Florence, MA 01062-3100 and can be reached out via phone at 413-584-6422 and via fax at 413-584-4346.

Provider Profile Details

NPI Number
1275885519
Provider Name
Derek Sturtevant
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
40 Main St Ste 106, Florence, MA 01062-3100
Phone Number
413-584-6422
Fax Number
413-584-4346
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
October 10, 2012
Last Update Date
August 30, 2021
Certification Date
August 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Main St Ste 106
Florence, MA 01062-3100
Zip
01062-3100
Phone Number
413-584-6422
Fax Number
413-584-4346
Florence, MA 01062Get directions →

Provider Business Mailing Address Details

Address
40 Main St Ste 106
Florence, MA 01062-3100
City
Florence
State
MA
Zip
01062-3100
Phone Number
413-584-6422
Fax Number
413-584-4346

License Information

License Number (1)
OD60567880
License State (1)
WA
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
od60567880
License State (2)
WA
Taxonomy (2)
Optometrist · 152W00000X
License Number (3)
5482
License State (3)
MA
Taxonomy (3)
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. Derek Sturtevant, OD?

The NPI number of Dr. Derek Sturtevant, OD is 1275885519. It was assigned on October 10, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Derek Sturtevant, OD?

Dr. Derek Sturtevant, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in WA under license number OD60567880.

Where does Dr. Derek Sturtevant, OD practice?

The practice location is 40 Main St Ste 106, Florence, MA 01062-3100. The office can be reached at 413-584-6422 (phone) or 413-584-4346 (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 1275885519 directly on the NPPES registry website.

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