Active NPIIndividual provider

Michael Cianca, OD

Optometrist in Brockton, Massachusetts

NPI Number1649798620
Practice location
63 Main St, Brockton, MA 02301
Fax
508-559-5073
Last updated
June 11, 2019

Michael Cianca is an Optometrist based in Brockton, MA. Michael Cianca practices in Brockton, MA and has the professional credentials of OD. The NPI Number for Michael Cianca is 1649798620 and holds a License No. 5230 (MA). The current practice location address for Michael Cianca is 63 Main St, Brockton, MA 02301 and can be reached out via phone at 508-559-6699 and via fax at 508-559-5073.

Provider Profile Details

NPI Number
1649798620
Provider Name
Michael Cianca
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
63 Main St, Brockton, MA 02301
Phone Number
508-559-6699
Fax Number
508-559-5073
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2017
Last Update Date
June 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Main St
Brockton, MA 02301
Zip
02301
Phone Number
508-559-6699
Fax Number
508-559-5073
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
55 Dimock Street-Dimcok Community Health Center
Roxbury, MA 02119
City
Roxbury
State
MA
Zip
02119
Phone Number
617-442-8800

License Information

License Number
5230
License State
MA
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 Michael Cianca, OD?

The NPI number of Michael Cianca, OD is 1649798620. It was assigned on August 30, 2017 and is currently active in the NPPES registry.

What is the specialty of Michael Cianca, OD?

Michael Cianca, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5230.

Where does Michael Cianca, OD practice?

The practice location is 63 Main St, Brockton, MA 02301. The office can be reached at 508-559-6699 (phone) or 508-559-5073 (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 1649798620 directly on the NPPES registry website.

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