Active NPIOrganization

Bastian Eyecare Professionals

Optometrist in Medford, Massachusetts

NPI Number1508243239
Practice location
12 Revere Pl, Medford, MA 02155-3903
Fax
—
Last updated
May 1, 2015

Bastian Eyecare Professionals is a healthcare organization based in Medford, MA. Bastian Eyecare Professionals practices in Medford, MA. The NPI Number for Bastian Eyecare Professionals is 1508243239. The current practice location address for Bastian Eyecare Professionals is 12 Revere Pl, Medford, MA 02155-3903 and can be reached out via phone at 508-517-0865.

Provider Profile Details

NPI Number
1508243239
Provider Name
Bastian Eyecare Professionals
Provider Entity Type
Organization
Address
12 Revere Pl, Medford, MA 02155-3903
Phone Number
508-517-0865
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Daniel Bastian, OD · Optometrist · 508-517-0865
Provider Enumeration Date
May 1, 2015
Last Update Date
May 1, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Revere Pl
Medford, MA 02155-3903
Zip
02155-3903
Phone Number
508-517-0865
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
12 Revere Pl
Medford, MA 02155-3903
City
Medford
State
MA
Zip
02155-3903
Phone Number
508-517-0865

License Information

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 Bastian Eyecare Professionals?

The NPI number of Bastian Eyecare Professionals is 1508243239. It was assigned on May 1, 2015 and is currently active in the NPPES registry.

What is the specialty of Bastian Eyecare Professionals?

Bastian Eyecare Professionals is registered under the primary taxonomy Optometrist (code 152W00000X).

Where does Bastian Eyecare Professionals practice?

The practice location is 12 Revere Pl, Medford, MA 02155-3903. The office can be reached at 508-517-0865 (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 1508243239 directly on the NPPES registry website.

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