Active NPIIndividual provider

John T Mandeville, MD, PHD

Ophthalmology in East Weymouth, Massachusetts

NPI Number1811986060
Practice location
97 Libbey Industrial Pkwy Ste 100, East Weymouth, MA 02189-3110
Fax
781-337-8356
Last updated
December 23, 2021

John T H Mandeville is an Ophthalmology based in East Weymouth, MA. John T H Mandeville practices in East Weymouth, MA and has the professional credentials of MD, PHD. The NPI Number for John T H Mandeville is 1811986060 and holds a License No. 209475 (MA). The current practice location address for John T H Mandeville is 97 Libbey Industrial Pkwy Ste 100, East Weymouth, MA 02189-3110 and can be reached out via phone at 781-331-3300 and via fax at 781-337-8356.

Provider Profile Details

NPI Number
1811986060
Provider Name
John T H Mandeville
Credential
MD, PHD
Provider Entity Type
Individual
Gender
Male
Address
97 Libbey Industrial Pkwy Ste 100, East Weymouth, MA 02189-3110
Phone Number
781-331-3300
Fax Number
781-337-8356
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2005
Last Update Date
December 23, 2021
Certification Date
December 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
97 Libbey Industrial Pkwy Ste 100
East Weymouth, MA 02189-3110
Zip
02189-3110
Phone Number
781-331-3300
Fax Number
781-337-8356
East Weymouth, MA 02189Get directions →

Provider Business Mailing Address Details

Address
97 Libbey Industrial Pkwy Ste 100
East Weymouth, MA 02189-3110
City
East Weymouth
State
MA
Zip
02189-3110
Phone Number
781-331-3300
Fax Number
781-337-8356

License Information

License Number (1)
209475
License State (1)
MA
License Number (2)
209475
License State (2)
MA
Taxonomy (2)
Ophthalmology · 207W00000X · 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 John T Mandeville, MD, PHD?

The NPI number of John T Mandeville, MD, PHD is 1811986060. It was assigned on October 20, 2005 and is currently active in the NPPES registry.

What is the specialty of John T Mandeville, MD, PHD?

John T Mandeville, MD, PHD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in MA under license number 209475.

Where does John T Mandeville, MD, PHD practice?

The practice location is 97 Libbey Industrial Pkwy Ste 100, East Weymouth, MA 02189-3110. The office can be reached at 781-331-3300 (phone) or 781-337-8356 (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 1811986060 directly on the NPPES registry website.

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