# DR. JOHN MARK ABBONDANZA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902992886
- **Gender:** Man
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 3407 | MA | — |
| 152WP0200X | Pediatric Optometrist | 3407 | MA | Yes |
| 152WV0400X | Vision Therapy Optometrist | 3407 | MA | — |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 05/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0369322 | — | MA |