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Leonid Demihovsky
Optician in Worcester, Massachusetts
NPI 1538510318

Leonid Demihovsky is a Optician based in Worcester, MA and is specialized in Optician. Leonid Demihovsky practices in Worcester, MA. The NPI Number for Leonid Demihovsky is 1538510318 and holds a License No. 5477 (Massachusetts).

The current practice location address for Leonid Demihovsky is 38 Southbridge St, Worcester, MA and can be reached out via phone at 508-791-9291 and via fax at 508-791-9292.

Location: 38 Southbridge St, Worcester, MA, 01608-2019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538510318
Provider Name
Leonid Demihovsky
Credential
Provider Entity Type
Individual
Gender
Male
Address
38 Southbridge St, Worcester, MA, 01608-2019
Phone Number
508-791-9291
Fax Number
508-791-9292
Provider Enumeration Date
06/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
38 Southbridge St
City
Worcester
State
Massachusetts
Zip
01608-2019
Phone Number
508-791-9291
Fax Number
508-791-9292
person
Provider Business Mailing Address Details
Address
38 Southbridge St
City
Worcester
State
Massachusetts
Zip
01608-2019
Phone Number
508-791-9291
Fax Number
508-791-9292
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens
Taxonomy
156FC0800X
License No.
5477 (Massachusetts)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens Fitter
Taxonomy
156FC0801X
License No.
5477 (Massachusetts)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 3
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
5477 (Massachusetts)
Definition
Definition to come...
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