Active NPIIndividual provider

Gina L Destefano, OD

Optometrist in Plainville, Massachusetts

NPI Number1770314726
Practice location
51 Man Mar Dr Unit 2, Plainville, MA 02762-2272
Fax
508-222-9914
Last updated
June 11, 2026

Gina Louise Destefano is an Optometrist based in Plainville, MA. Gina Louise Destefano practices in Plainville, MA and has the professional credentials of OD. The NPI Number for Gina Louise Destefano is 1770314726 and holds a License No. OPT8361 (MA). The current practice location address for Gina Louise Destefano is 51 Man Mar Dr Unit 2, Plainville, MA 02762-2272 and can be reached out via phone at 508-222-9914 and via fax at 508-222-9914.

Provider Profile Details

NPI Number
1770314726
Provider Name
Gina Louise Destefano
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
51 Man Mar Dr Unit 2, Plainville, MA 02762-2272
Phone Number
508-222-9914
Fax Number
508-222-9914
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2024
Last Update Date
June 11, 2026
Certification Date
June 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Man Mar Dr Unit 2
Plainville, MA 02762-2272
Zip
02762-2272
Phone Number
508-222-9914
Fax Number
508-222-9914
Plainville, MA 02762Get directions →

Provider Business Mailing Address Details

Address
1797 Washington St
Holliston, MA 01746-2239
City
Holliston
State
MA
Zip
01746-2239
Phone Number
774-573-6307

License Information

License Number (1)
OPT8361
License State (1)
MA
Taxonomy (1)
Optometrist · 152W00000X · Primary
License Number (2)
011050
License State (2)
NY
Taxonomy (2)
Optometrist · 152W00000X

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 Gina L Destefano, OD?

The NPI number of Gina L Destefano, OD is 1770314726. It was assigned on August 12, 2024 and is currently active in the NPPES registry.

What is the specialty of Gina L Destefano, OD?

Gina L Destefano, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number OPT8361.

Where does Gina L Destefano, OD practice?

The practice location is 51 Man Mar Dr Unit 2, Plainville, MA 02762-2272. The office can be reached at 508-222-9914 (phone) or 508-222-9914 (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 1770314726 directly on the NPPES registry website.

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