Active NPIIndividual providerSole proprietor

Mr. Bertram J Grande, RO

Technician/Technologist, Optician in Attleboro, Massachusetts

NPI Number1891066023
Practice location
734 Newport Ave, Attleboro, MA 02703-5935
Fax
508-761-5500
Last updated
January 19, 2012

Bertram J Grande is a Technician/Technologist, Optician based in Attleboro, MA. Bertram J Grande practices in Attleboro, MA and has the professional credentials of RO. The NPI Number for Bertram J Grande is 1891066023 and holds a License No. 4800 (MA). The current practice location address for Bertram J Grande is 734 Newport Ave, Attleboro, MA 02703-5935 and can be reached out via phone at 508-761-6100 and via fax at 508-761-5500.

Provider Profile Details

NPI Number
1891066023
Provider Name
Bertram J Grande
Credential
RO
Provider Entity Type
Individual
Gender
Male
Address
734 Newport Ave, Attleboro, MA 02703-5935
Phone Number
508-761-6100
Fax Number
508-761-5500
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
Yes
Provider Enumeration Date
January 19, 2012
Last Update Date
January 19, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
734 Newport Ave
Attleboro, MA 02703-5935
Zip
02703-5935
Phone Number
508-761-6100
Fax Number
508-761-5500
Attleboro, MA 02703Get directions →

Provider Business Mailing Address Details

Address
734 Newport Ave
Attleboro, MA 02703-5935
City
Attleboro
State
MA
Zip
02703-5935
Phone Number
508-761-6100
Fax Number
508-761-5500

License Information

License Number
4800
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. Bertram J Grande, RO?

The NPI number of Mr. Bertram J Grande, RO is 1891066023. It was assigned on January 19, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Bertram J Grande, RO?

Mr. Bertram J Grande, RO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in MA under license number 4800.

Where does Mr. Bertram J Grande, RO practice?

The practice location is 734 Newport Ave, Attleboro, MA 02703-5935. The office can be reached at 508-761-6100 (phone) or 508-761-5500 (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 1891066023 directly on the NPPES registry website.

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