Active NPIIndividual provider

Marc L Braithwaite, OD

Optometrist in Auburn, Massachusetts

NPI Number1780641357
Practice location
385 Southbridge St, Auburn, MA 01501-2498
Fax
508-832-5951
Last updated
March 13, 2019

Marc L Braithwaite is an Optometrist based in Auburn, MA. Marc L Braithwaite practices in Auburn, MA and has the professional credentials of OD. The NPI Number for Marc L Braithwaite is 1780641357 and holds a License No. OPT903 (ME). The current practice location address for Marc L Braithwaite is 385 Southbridge St, Auburn, MA 01501-2498 and can be reached out via phone at 508-856-9599 and via fax at 508-832-5951.

Provider Profile Details

NPI Number
1780641357
Provider Name
Marc L Braithwaite
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
385 Southbridge St, Auburn, MA 01501-2498
Phone Number
508-856-9599
Fax Number
508-832-5951
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
April 27, 2006
Last Update Date
March 13, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
385 Southbridge St
Auburn, MA 01501-2498
City
Auburn
Zip
01501-2498
Phone Number
508-856-9599
Fax Number
508-832-5951
Auburn, MA 01501Get directions →

Provider Business Mailing Address Details

Address
5 Neponset St Fl Street12
Worcester, MA 01606-2714
City
Worcester
State
MA
Zip
01606-2714
Phone Number
508-836-8553
Fax Number
508-832-5951

License Information

License Number (1)
OPT903
License State (1)
ME
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
DA1826
License State (2)
MD
Taxonomy (2)
Optometrist · 152W00000X
License Number (3)
4997
License State (3)
MA
Taxonomy (3)
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 Marc L Braithwaite, OD?

The NPI number of Marc L Braithwaite, OD is 1780641357. It was assigned on April 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Marc L Braithwaite, OD?

Marc L Braithwaite, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in ME under license number OPT903.

Where does Marc L Braithwaite, OD practice?

The practice location is 385 Southbridge St, Auburn, MA 01501-2498. The office can be reached at 508-856-9599 (phone) or 508-832-5951 (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 1780641357 directly on the NPPES registry website.

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