Active NPIIndividual providerSole proprietor

Mrs. Brenda L Tibbetts

Technician/Technologist, Optician in Monson, Massachusetts

NPI Number1528361805
Practice location
170 Main St Ste E, Monson, MA 01057-1353
Fax
413-267-4200
Last updated
December 27, 2010

Brenda L Tibbetts is a Technician/Technologist, Optician based in Monson, MA. Brenda L Tibbetts practices in Monson, MA. The NPI Number for Brenda L Tibbetts is 1528361805 and holds a License No. 5499 (MA). The current practice location address for Brenda L Tibbetts is 170 Main St Ste E, Monson, MA 01057-1353 and can be reached out via phone at 413-267-4200 and via fax at 413-267-4200.

Provider Profile Details

NPI Number
1528361805
Provider Name
Brenda L Tibbetts
Provider Entity Type
Individual
Gender
Female
Address
170 Main St Ste E, Monson, MA 01057-1353
Phone Number
413-267-4200
Fax Number
413-267-4200
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
Yes
Other Names
-- Brenda L Dimitropolis/Bressem (Former Name)
Provider Enumeration Date
December 8, 2010
Last Update Date
December 27, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Main St Ste E
Monson, MA 01057-1353
City
Monson
Zip
01057-1353
Phone Number
413-267-4200
Fax Number
413-267-4200
Monson, MA 01057Get directions →

Provider Business Mailing Address Details

Address
170 Main St Ste E
Monson, MA 01057-1353
City
Monson
State
MA
Zip
01057-1353
Phone Number
413-267-4200
Fax Number
413-267-4200

License Information

License Number
5499
License State
MA
Taxonomy
Technician/Technologist, Optician · 156FX1800X · 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 Mrs. Brenda L Tibbetts?

The NPI number of Mrs. Brenda L Tibbetts is 1528361805. It was assigned on December 8, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Brenda L Tibbetts?

Mrs. Brenda L Tibbetts is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in MA under license number 5499.

Where does Mrs. Brenda L Tibbetts practice?

The practice location is 170 Main St Ste E, Monson, MA 01057-1353. The office can be reached at 413-267-4200 (phone) or 413-267-4200 (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 1528361805 directly on the NPPES registry website.

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