Individual
DR. PAUL RICHARD CIACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
56 MAIN ST, ORLEANS, MA 02653-9998
(508) 255-0444
Mailing address
56 MAIN ST, PO BOX 1331, ORLEANS, MA 02653-9998
(508) 255-0444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2724
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0335428
—
MA
01
—
0678590001
DMERC
MA
01
—
W15423
BCBS OF MASS
MA
Enumeration date
10/20/2006
Last updated
02/01/2016
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