Active NPIOrganization

Codman Square Health Center

Optometrist in Dorchester, Massachusetts

NPI Number1437328648
Practice location
637 Washington Street, Dorchester, MA 02124
Fax
617-288-7898
Last updated
February 22, 2008

Codman Square Health Center is a healthcare organization based in Dorchester, MA. Codman Square Health Center practices in Dorchester, MA. The NPI Number for Codman Square Health Center is 1437328648 and holds a License No. 2748 (MA). The current practice location address for Codman Square Health Center is 637 Washington Street, Dorchester, MA 02124 and can be reached out via phone at 617-825-9660 and via fax at 617-288-7898.

Provider Profile Details

NPI Number
1437328648
Provider Name
Codman Square Health Center
Provider Entity Type
Organization
Address
637 Washington Street, Dorchester, MA 02124
Phone Number
617-825-9660
Fax Number
617-288-7898
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
Yes
Parent Organization
Codman Square Health Center
Authorized Official
Philip Severin, MD · Medical Director · 617-825-9660
Provider Enumeration Date
February 22, 2008
Last Update Date
February 22, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
637 Washington Street
Dorchester, MA 02124
Zip
02124
Phone Number
617-825-9660
Fax Number
617-288-7898
Dorchester, MA 02124Get directions →

Provider Business Mailing Address Details

Address
637 Washington Street
Dorchester, MA 02124
City
Dorchester
State
MA
Zip
02124
Phone Number
617-825-9660
Fax Number
617-288-7898

License Information

License Number
2748
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 Codman Square Health Center?

The NPI number of Codman Square Health Center is 1437328648. It was assigned on February 22, 2008 and is currently active in the NPPES registry.

What is the specialty of Codman Square Health Center?

Codman Square Health Center is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 2748.

Where does Codman Square Health Center practice?

The practice location is 637 Washington Street, Dorchester, MA 02124. The office can be reached at 617-825-9660 (phone) or 617-288-7898 (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 1437328648 directly on the NPPES registry website.

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