person
Anghelo Guevara
Optician in Boston, Massachusetts
NPI 1801241203

Anghelo Guevara is a Optician based in Boston, MA and is specialized in Optician. Anghelo Guevara practices in Boston, MA. The NPI Number for Anghelo Guevara is 1801241203 and holds a License No. 6472 (Massachusetts).

The current practice location address for Anghelo Guevara is 1601 Washington St, Boston, MA and can be reached out via phone at 617-425-2020 and via fax at 617-425-2023. You can also correspond with Anghelo Guevara through the mailing address at 1601 WASHINGTON ST, BOSTON, MA - 02118-1951 (mailing address contact number: 617-425-2020).

Location: 1601 Washington St, Boston, MA, 02118-1951
person
Provider Profile Details
NPI Number
1801241203
Provider Name
Anghelo Guevara
Credential
Provider Entity Type
Individual
Gender
Male
Address
1601 Washington St, Boston, MA, 02118-1951
Phone Number
617-425-2020
Fax Number
617-425-2023
Provider Enumeration Date
05/04/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6472 01 MA COMMONWEALTH OF MASSACHUSETTS BOARD OF DISPENSING OPTICIANS
institution
Provider Business Practice Location Address Details
Address
1601 Washington St
City
State
Zip
02118-1951
Phone Number
617-425-2020
Fax Number
617-425-2023
person
Provider Business Mailing Address Details
Address
1601 Washington St
City
State
Zip
02118-1951
Phone Number
617-425-2020
Fax Number
617-425-2023
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
6472 (Massachusetts)
Definition
Definition to come...
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