Individual
DR. THOMAS R FABELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
159 CENTRAL ST, LOWELL, MA 01852-1923
(978) 459-6262
(978) 458-0358
Mailing address
159 CENTRAL ST, LOWELL, MA 01852-1923
(978) 459-6262
(978) 458-0358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2809
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004866
NEIGHBORHOOD HEALTH PLAN
MA
05
—
0339008
—
MA
05
—
0344206
—
MA
01
—
115581
EYEMED
MA
01
—
151299
HARVARD PILGRIM
MA
01
—
469330
TUFTS TOTAL HEALTH PLAN
MA
01
—
979552
NETWORK HEALTH
MA
01
—
W15680
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/29/2005
Last updated
07/08/2007
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