Active NPIIndividual provider

Mr. Jerry P Will Sr., DISPENSING OPTICIAN

Technician/Technologist, Optician in Southampton, Massachusetts

NPI Number1861616955
Practice location
15 B College Highway, 15 B Southampton Optical, Southampton, MA 01073
Fax
413-527-3526
Last updated
July 8, 2007

Jerry P Will is a Technician/Technologist, Optician based in Southampton, MA. Jerry P Will practices in Southampton, MA and has the professional credentials of DISPENSING OPTICIAN. The NPI Number for Jerry P Will is 1861616955 and holds a License No. MA4110 (MA). The current practice location address for Jerry P Will is 15 B College Highway, 15 B Southampton Optical, Southampton, MA 01073 and can be reached out via phone at 413-527-5613 and via fax at 413-527-3526.

Provider Profile Details

NPI Number
1861616955
Provider Name
Jerry P Will
Credential
DISPENSING OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
15 B College Highway, 15 B Southampton Optical, Southampton, MA 01073
Phone Number
413-527-5613
Fax Number
413-527-3526
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 B College Highway
15 B Southampton Optical
Southampton, MA 01073
Zip
01073
Phone Number
413-527-5613
Fax Number
413-527-3526
Southampton, MA 01073Get directions →

Provider Business Mailing Address Details

Address
15 B College Highway
Southampton Optical
Southampton, MA 01073
City
Southampton
State
MA
Zip
01073
Phone Number
413-527-5613
Fax Number
413-527-3526

License Information

License Number
MA4110
License State
MA
Taxonomy
Technician/Technologist, Optician · 156FX1800X · 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 Mr. Jerry P Will Sr., DISPENSING OPTICIAN?

The NPI number of Mr. Jerry P Will Sr., DISPENSING OPTICIAN is 1861616955. It was assigned on April 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Jerry P Will Sr., DISPENSING OPTICIAN?

Mr. Jerry P Will Sr., DISPENSING OPTICIAN is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in MA under license number MA4110.

Where does Mr. Jerry P Will Sr., DISPENSING OPTICIAN practice?

The practice location is 15 B College Highway, 15 B Southampton Optical, Southampton, MA 01073. The office can be reached at 413-527-5613 (phone) or 413-527-3526 (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 1861616955 directly on the NPPES registry website.

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