Enian Kallamata, OD, MS
Optometrist in Medford, Massachusetts
1700498672- Practice location
- 63 Station Lndg, Medford, MA 02155-5192
- Phone
- 781-393-5367
- Fax
- 617-453-5757
- Last updated
- August 20, 2020
Enian Kallamata is an Optometrist based in Medford, MA. Enian Kallamata practices in Medford, MA and has the professional credentials of OD, MS. The NPI Number for Enian Kallamata is 1700498672 and holds a License No. 5418 (MA). The current practice location address for Enian Kallamata is 63 Station Lndg, Medford, MA 02155-5192 and can be reached out via phone at 781-393-5367 and via fax at 617-453-5757.
Provider Profile Details
- NPI Number
- 1700498672
- Provider Name
- Enian Kallamata
- Credential
- OD, MS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 63 Station Lndg, Medford, MA 02155-5192
- Phone Number
- 781-393-5367
- Fax Number
- 617-453-5757
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 20, 2020
- Last Update Date
- August 20, 2020
- Certification Date
- August 20, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 63 Station Lndg
Medford, MA 02155-5192 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-5192
- Phone Number
- 781-393-5367
- Fax Number
- 617-453-5757
Provider Business Mailing Address Details
- Address
- 5 Blue Jay Cir
Boston, MA 02126-1994 - City
- Boston
- State
- MA
- Zip
- 02126-1994
- Phone Number
- 857-492-6188
License Information
- License Number
- 5418
- License State
- MA
- Taxonomy
- Optometrist · 152W00000X · 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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- Charles Robertson, DOOptometrist · NPI 1841355054
- Dr Anthony W Iraca Of Medford INCOptometrist · NPI 1396933826
Frequently Asked Questions
What is the NPI number of Enian Kallamata, OD, MS?
The NPI number of Enian Kallamata, OD, MS is 1700498672. It was assigned on August 20, 2020 and is currently active in the NPPES registry.
What is the specialty of Enian Kallamata, OD, MS?
Enian Kallamata, OD, MS is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5418.
Where does Enian Kallamata, OD, MS practice?
The practice location is 63 Station Lndg, Medford, MA 02155-5192. The office can be reached at 781-393-5367 (phone) or 617-453-5757 (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 1700498672 directly on the NPPES registry website.