Active NPIIndividual provider

Madonna M Santos, OD

Optometrist in Agawam, Massachusetts

NPI Number1457450587
Practice location
170 Main St, Agawam, MA 01001-1803
Fax
413-789-1197
Last updated
July 9, 2007

Madonna Maria Santos is an Optometrist based in Agawam, MA. Madonna Maria Santos practices in Agawam, MA and has the professional credentials of OD. The NPI Number for Madonna Maria Santos is 1457450587 and holds a License No. MA 3468 (MA). The current practice location address for Madonna Maria Santos is 170 Main St, Agawam, MA 01001-1803 and can be reached out via phone at 413-789-7711 and via fax at 413-789-1197.

Provider Profile Details

NPI Number
1457450587
Provider Name
Madonna Maria Santos
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
170 Main St, Agawam, MA 01001-1803
Phone Number
413-789-7711
Fax Number
413-789-1197
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
September 22, 2006
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Main St
Agawam, MA 01001-1803
City
Agawam
Zip
01001-1803
Phone Number
413-789-7711
Fax Number
413-789-1197
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
101 Thistledown
Suffield, CT 06078-1639
City
Suffield
State
CT
Zip
06078-1639
Phone Number
860-668-7618

License Information

License Number
MA 3468
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 Madonna M Santos, OD?

The NPI number of Madonna M Santos, OD is 1457450587. It was assigned on September 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Madonna M Santos, OD?

Madonna M Santos, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number MA 3468.

Where does Madonna M Santos, OD practice?

The practice location is 170 Main St, Agawam, MA 01001-1803. The office can be reached at 413-789-7711 (phone) or 413-789-1197 (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 1457450587 directly on the NPPES registry website.

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