Active NPIOrganization

Andover Optometry On Central LLC

Optometrist in Andover, Massachusetts

NPI Number1417204033
Practice location
15 Central St, Andover, MA 01810-3758
Fax
978-475-2226
Last updated
October 19, 2016

Andover Optometry On Central LLC is a healthcare organization based in Andover, MA. Andover Optometry On Central LLC practices in Andover, MA. The NPI Number for Andover Optometry On Central LLC is 1417204033 and holds a License No. MA3763 (MA). The current practice location address for Andover Optometry On Central LLC is 15 Central St, Andover, MA 01810-3758 and can be reached out via phone at 978-475-5252 and via fax at 978-475-2226.

Provider Profile Details

NPI Number
1417204033
Provider Name
Andover Optometry On Central LLC
Provider Entity Type
Organization
Address
15 Central St, Andover, MA 01810-3758
Phone Number
978-475-5252
Fax Number
978-475-2226
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Dr. Ronald Watanabe, OD · Owner · 978-475-5252
Other Names
Andover Optometry On Central (Doing Business As)
Provider Enumeration Date
August 14, 2012
Last Update Date
October 19, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Central St
Andover, MA 01810-3758
Zip
01810-3758
Phone Number
978-475-5252
Fax Number
978-475-2226
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
15 Central St
Andover, MA 01810-3758
City
Andover
State
MA
Zip
01810-3758
Phone Number
978-475-5252
Fax Number
978-475-2226

License Information

License Number
MA3763
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 Andover Optometry On Central LLC?

The NPI number of Andover Optometry On Central LLC is 1417204033. It was assigned on August 14, 2012 and is currently active in the NPPES registry.

What is the specialty of Andover Optometry On Central LLC?

Andover Optometry On Central LLC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number MA3763.

Where does Andover Optometry On Central LLC practice?

The practice location is 15 Central St, Andover, MA 01810-3758. The office can be reached at 978-475-5252 (phone) or 978-475-2226 (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 1417204033 directly on the NPPES registry website.

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