Mr. Robert W Derby, LO
Technician/Technologist, Optician in Longmeadow, Massachusetts
1609083526- Practice location
- 471 Longmeadow St, Longmeadow, MA 01106-1351
- Phone
- 413-567-6242
- Fax
- —
- Last updated
- July 8, 2007
Robert Wesson Derby is a Technician/Technologist, Optician based in Longmeadow, MA. Robert Wesson Derby practices in Longmeadow, MA and has the professional credentials of LO. The NPI Number for Robert Wesson Derby is 1609083526 and holds a License No. 1477 (MA). The current practice location address for Robert Wesson Derby is 471 Longmeadow St, Longmeadow, MA 01106-1351 and can be reached out via phone at 413-567-6242.
Provider Profile Details
- NPI Number
- 1609083526
- Provider Name
- Robert Wesson Derby
- Credential
- LO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 471 Longmeadow St, Longmeadow, MA 01106-1351
- Phone Number
- 413-567-6242
- Primary Taxonomy
- Technician/Technologist, Optician · 156FX1800X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 17, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 471 Longmeadow St
Longmeadow, MA 01106-1351 - City
- Longmeadow
- State
- Massachusetts
- Zip
- 01106-1351
- Phone Number
- 413-567-6242
Provider Business Mailing Address Details
- Address
- 471 Longmeadow St
Longmeadow, MA 01106-1351 - City
- Longmeadow
- State
- MA
- Zip
- 01106-1351
- Phone Number
- 413-567-6242
License Information
- License Number
- 1477
- License State
- MA
- Taxonomy
- Technician/Technologist, Optician · 156FX1800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Robert W Derby, LO?
The NPI number of Mr. Robert W Derby, LO is 1609083526. It was assigned on May 17, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Robert W Derby, LO?
Mr. Robert W Derby, LO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in MA under license number 1477.
Where does Mr. Robert W Derby, LO practice?
The practice location is 471 Longmeadow St, Longmeadow, MA 01106-1351. The office can be reached at 413-567-6242 (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 1609083526 directly on the NPPES registry website.