Active NPIIndividual provider

Dr. Daniel A Bastian, OD

Optometrist in Brockton, Massachusetts

NPI Number1770848384
Practice location
940 Belmont St, Brockton, MA 02301-5596
Fax
—
Last updated
March 9, 2016

Daniel Arthur Bastian is an Optometrist based in Brockton, MA. Daniel Arthur Bastian practices in Brockton, MA and has the professional credentials of OD. The NPI Number for Daniel Arthur Bastian is 1770848384 and holds a License No. OEG002619 (PA). The current practice location address for Daniel Arthur Bastian is 940 Belmont St, Brockton, MA 02301-5596 and can be reached out via phone at 508-583-4500.

Provider Profile Details

NPI Number
1770848384
Provider Name
Daniel Arthur Bastian
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
940 Belmont St, Brockton, MA 02301-5596
Phone Number
508-583-4500
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
July 10, 2012
Last Update Date
March 9, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
940 Belmont St
Brockton, MA 02301-5596
Zip
02301-5596
Phone Number
508-583-4500
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
12 Revere Pl
Medford, MA 02155-3903
City
Medford
State
MA
Zip
02155-3903
Phone Number
508-517-0865

License Information

License Number (1)
OEG002619
License State (1)
PA
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
4921
License State (2)
MA
Taxonomy (2)
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 Dr. Daniel A Bastian, OD?

The NPI number of Dr. Daniel A Bastian, OD is 1770848384. It was assigned on July 10, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Daniel A Bastian, OD?

Dr. Daniel A Bastian, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PA under license number OEG002619.

Where does Dr. Daniel A Bastian, OD practice?

The practice location is 940 Belmont St, Brockton, MA 02301-5596. The office can be reached at 508-583-4500 (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 1770848384 directly on the NPPES registry website.

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