Active NPIIndividual provider

Anne N Bertolet, OD

Optometrist in Jamaica Plain, Massachusetts

NPI Number1417484056
Practice location
150 S Huntington Ave, Jamaica Plain, MA 02130-4817
Fax
—
Last updated
June 1, 2020

Anne Nicolle Bertolet is an Optometrist based in Jamaica Plain, MA. Anne Nicolle Bertolet practices in Jamaica Plain, MA and has the professional credentials of OD. The NPI Number for Anne Nicolle Bertolet is 1417484056 and holds a License No. 5340 (MA). The current practice location address for Anne Nicolle Bertolet is 150 S Huntington Ave, Jamaica Plain, MA 02130-4817 and can be reached out via phone at 617-232-9500.

Provider Profile Details

NPI Number
1417484056
Provider Name
Anne Nicolle Bertolet
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
150 S Huntington Ave, Jamaica Plain, MA 02130-4817
Phone Number
617-232-9500
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
May 14, 2017
Last Update Date
June 1, 2020
Certification Date
June 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Zip
02130-4817
Phone Number
617-232-9500
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
150 S Huntington Ave
Mail Code 112
Boston, MA 02130
City
Boston
State
MA
Zip
02130
Phone Number
802-881-9275

License Information

License Number (1)
5340
License State (1)
MA
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
OEG003286
License State (2)
PA
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 Anne N Bertolet, OD?

The NPI number of Anne N Bertolet, OD is 1417484056. It was assigned on May 14, 2017 and is currently active in the NPPES registry.

What is the specialty of Anne N Bertolet, OD?

Anne N Bertolet, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5340.

Where does Anne N Bertolet, OD practice?

The practice location is 150 S Huntington Ave, Jamaica Plain, MA 02130-4817. The office can be reached at 617-232-9500 (phone).

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 1417484056 directly on the NPPES registry website.

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