Active NPIIndividual provider

Thomas A Leavitt, OD

Optometrist in Medford, Massachusetts

NPI Number1295841856
Practice location
26 City Hall Mall, Medford, MA 02155-4754
Fax
781-306-5303
Last updated
February 19, 2021

Thomas A. Leavitt is an Optometrist based in Medford, MA. Thomas A. Leavitt practices in Medford, MA and has the professional credentials of OD. The NPI Number for Thomas A. Leavitt is 1295841856 and holds a License No. 3638 (MA). The current practice location address for Thomas A. Leavitt is 26 City Hall Mall, Medford, MA 02155-4754 and can be reached out via phone at 781-306-5184 and via fax at 781-306-5303.

Provider Profile Details

NPI Number
1295841856
Provider Name
Thomas A. Leavitt
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
26 City Hall Mall, Medford, MA 02155-4754
Phone Number
781-306-5184
Fax Number
781-306-5303
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
August 23, 2006
Last Update Date
February 19, 2021
Certification Date
February 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 City Hall Mall
Medford, MA 02155-4754
Zip
02155-4754
Phone Number
781-306-5184
Fax Number
781-306-5303
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
26 City Hall Mall
Medford, MA 02155-4754
City
Medford
State
MA
Zip
02155-4754
Phone Number
781-306-5184
Fax Number
781-306-5303

License Information

License Number
3638
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 Thomas A Leavitt, OD?

The NPI number of Thomas A Leavitt, OD is 1295841856. It was assigned on August 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Thomas A Leavitt, OD?

Thomas A Leavitt, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 3638.

Where does Thomas A Leavitt, OD practice?

The practice location is 26 City Hall Mall, Medford, MA 02155-4754. The office can be reached at 781-306-5184 (phone) or 781-306-5303 (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 1295841856 directly on the NPPES registry website.

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