Active NPIOrganization

Dr Anthony W Iraca Of Medford INC

Optometrist in Medford, Massachusetts

NPI Number1396933826
Practice location
4110 Mystic Valley Parkway, Medford, MA 02155
Fax
781-395-7875
Last updated
October 10, 2007

Dr Anthony W Iraca Of Medford INC is a healthcare organization based in Medford, MA. Dr Anthony W Iraca Of Medford INC practices in Medford, MA. The NPI Number for Dr Anthony W Iraca Of Medford INC is 1396933826 and holds a License No. 3432 (MA). The current practice location address for Dr Anthony W Iraca Of Medford INC is 4110 Mystic Valley Parkway, Medford, MA 02155 and can be reached out via phone at 781-391-1195 and via fax at 781-395-7875.

Provider Profile Details

NPI Number
1396933826
Provider Name
Dr Anthony W Iraca Of Medford INC
Provider Entity Type
Organization
Address
4110 Mystic Valley Parkway, Medford, MA 02155
Phone Number
781-391-1195
Fax Number
781-395-7875
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Dr. Anthony Walter Iraca, OD · President · 781-391-1195
Provider Enumeration Date
October 10, 2007
Last Update Date
October 10, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4110 Mystic Valley Parkway
Medford, MA 02155
Zip
02155
Phone Number
781-391-1195
Fax Number
781-395-7875
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
4110 Mystic Valley Parkway
Medford, MA 02155
City
Medford
State
MA
Zip
02155
Phone Number
781-391-1195
Fax Number
781-395-7875

License Information

License Number (1)
3432
License State (1)
MA
License Number (2)
3432
License State (2)
MA
Taxonomy (2)
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 Anthony W Iraca Of Medford INC?

The NPI number of Dr Anthony W Iraca Of Medford INC is 1396933826. It was assigned on October 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr Anthony W Iraca Of Medford INC?

Dr Anthony W Iraca Of Medford INC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 3432.

Where does Dr Anthony W Iraca Of Medford INC practice?

The practice location is 4110 Mystic Valley Parkway, Medford, MA 02155. The office can be reached at 781-391-1195 (phone) or 781-395-7875 (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 1396933826 directly on the NPPES registry website.

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