Active NPIIndividual provider

Mario F Jaramillo, RDO

Technician/Technologist, Optician in Dedham, Massachusetts

NPI Number1568964054
Practice location
1 Lyons St, Dedham, MA 02026-5599
Fax
—
Last updated
March 1, 2018

Mario Fernando Jaramillo is a Technician/Technologist, Optician based in Dedham, MA. Mario Fernando Jaramillo practices in Dedham, MA and has the professional credentials of RDO. The NPI Number for Mario Fernando Jaramillo is 1568964054 and holds a License No. 6120 (MA). The current practice location address for Mario Fernando Jaramillo is 1 Lyons St, Dedham, MA 02026-5599 and can be reached out via phone at 760-567-1300.

Provider Profile Details

NPI Number
1568964054
Provider Name
Mario Fernando Jaramillo
Credential
RDO
Provider Entity Type
Individual
Gender
Male
Address
1 Lyons St, Dedham, MA 02026-5599
Phone Number
760-567-1300
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
No
Provider Enumeration Date
March 1, 2018
Last Update Date
March 1, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Lyons St
Dedham, MA 02026-5599
City
Dedham
Zip
02026-5599
Phone Number
760-567-1300
Dedham, MA 02026Get directions →

Provider Business Mailing Address Details

Address
1 Lyons St
Dedham, MA 02026-5599
City
Dedham
State
MA
Zip
02026-5599
Phone Number
760-567-1300

License Information

License Number
6120
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 Mario F Jaramillo, RDO?

The NPI number of Mario F Jaramillo, RDO is 1568964054. It was assigned on March 1, 2018 and is currently active in the NPPES registry.

What is the specialty of Mario F Jaramillo, RDO?

Mario F Jaramillo, RDO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in MA under license number 6120.

Where does Mario F Jaramillo, RDO practice?

The practice location is 1 Lyons St, Dedham, MA 02026-5599. The office can be reached at 760-567-1300 (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 1568964054 directly on the NPPES registry website.

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