Active NPIOrganization

Broadway Optical Corp

Technician/Technologist, Optician in Revere, Massachusetts

NPI Number1700290160
Practice location
333 Broadway Street, Suite 1, Revere, MA 02151
Fax
—
Last updated
June 13, 2014

Broadway Optical Corp is a healthcare organization based in Revere, MA. Broadway Optical Corp practices in Revere, MA. The NPI Number for Broadway Optical Corp is 1700290160. The current practice location address for Broadway Optical Corp is 333 Broadway Street, Suite 1, Revere, MA 02151 and can be reached out via phone at 781-289-0489.

Provider Profile Details

NPI Number
1700290160
Provider Name
Broadway Optical Corp
Provider Entity Type
Organization
Address
333 Broadway Street, Suite 1, Revere, MA 02151
Phone Number
781-289-0489
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Organization Subpart
No
Authorized Official
Mr. William Masiello, OPTICAN · Manager · 781-289-0489
Provider Enumeration Date
June 13, 2014
Last Update Date
June 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
333 Broadway Street
Suite 1
Revere, MA 02151
City
Revere
Zip
02151
Phone Number
781-289-0489
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
333 Broadway
Suite 1
Revere, MA 02151-5017
City
Revere
State
MA
Zip
02151-5017
Phone Number
781-289-0489

License Information

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 Broadway Optical Corp?

The NPI number of Broadway Optical Corp is 1700290160. It was assigned on June 13, 2014 and is currently active in the NPPES registry.

What is the specialty of Broadway Optical Corp?

Broadway Optical Corp is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X).

Where does Broadway Optical Corp practice?

The practice location is 333 Broadway Street, Suite 1, Revere, MA 02151. The office can be reached at 781-289-0489 (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 1700290160 directly on the NPPES registry website.

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