Active NPIIndividual provider

Dr. Leonard Bertoli, OD

Optometrist in Malden, Massachusetts

NPI Number1477504538
Practice location
1 Highland Ave, #3b Mass Optometric Associates, P.c., Malden, MA 02148
Fax
781-321-8611
Last updated
September 20, 2007

Leonard Bertoli is an Optometrist based in Malden, MA. Leonard Bertoli practices in Malden, MA and has the professional credentials of OD. The NPI Number for Leonard Bertoli is 1477504538 and holds a License No. 3490 (MA). The current practice location address for Leonard Bertoli is 1 Highland Ave, #3b Mass Optometric Associates, P.c., Malden, MA 02148 and can be reached out via phone at 781-321-9039 and via fax at 781-321-8611.

Provider Profile Details

NPI Number
1477504538
Provider Name
Leonard Bertoli
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
1 Highland Ave, #3b Mass Optometric Associates, P.c., Malden, MA 02148
Phone Number
781-321-9039
Fax Number
781-321-8611
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
May 13, 2006
Last Update Date
September 20, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Highland Ave
#3b Mass Optometric Associates, P.c.
Malden, MA 02148
City
Malden
Zip
02148
Phone Number
781-321-9039
Fax Number
781-321-8611
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
2921 Erie Blvd E
C/O Empire Vision Center, INC
Syracuse, NY 13224-1430
City
Syracuse
State
NY
Zip
13224-1430
Phone Number
315-445-7465
Fax Number
315-445-7675

License Information

License Number
3490
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 Dr. Leonard Bertoli, OD?

The NPI number of Dr. Leonard Bertoli, OD is 1477504538. It was assigned on May 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Leonard Bertoli, OD?

Dr. Leonard Bertoli, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 3490.

Where does Dr. Leonard Bertoli, OD practice?

The practice location is 1 Highland Ave, #3b Mass Optometric Associates, P.c., Malden, MA 02148. The office can be reached at 781-321-9039 (phone) or 781-321-8611 (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 1477504538 directly on the NPPES registry website.

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