Active NPIIndividual provider

Kristina M Dephilippo, OD

Optometrist in Brockton, Massachusetts

NPI Number1831454636
Practice location
940 Belmont St, Brockton, MA 02301-5596
Fax
—
Last updated
July 10, 2012

Kristina M Dephilippo is an Optometrist based in Brockton, MA. Kristina M Dephilippo practices in Brockton, MA and has the professional credentials of OD. The NPI Number for Kristina M Dephilippo is 1831454636 and holds a License No. oeg002633 (PA). The current practice location address for Kristina M Dephilippo is 940 Belmont St, Brockton, MA 02301-5596 and can be reached out via phone at 774-826-1106.

Provider Profile Details

NPI Number
1831454636
Provider Name
Kristina M Dephilippo
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
940 Belmont St, Brockton, MA 02301-5596
Phone Number
774-826-1106
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
July 8, 2012
Last Update Date
July 10, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
940 Belmont St
Brockton, MA 02301-5596
Zip
02301-5596
Phone Number
774-826-1106
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
140 Kenrick Street
Unit 27
Brighton, MA 02135-3830
City
Brighton
State
MA
Zip
02135-3830

License Information

License Number
oeg002633
License State
PA
Taxonomy
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 Kristina M Dephilippo, OD?

The NPI number of Kristina M Dephilippo, OD is 1831454636. It was assigned on July 8, 2012 and is currently active in the NPPES registry.

What is the specialty of Kristina M Dephilippo, OD?

Kristina M Dephilippo, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PA under license number oeg002633.

Where does Kristina M Dephilippo, OD practice?

The practice location is 940 Belmont St, Brockton, MA 02301-5596. The office can be reached at 774-826-1106 (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 1831454636 directly on the NPPES registry website.

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