Individual
DAVID TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6280
(617) 629-6275
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3316
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014536
NHP
MA
01
—
003316
TUFTS
MA
05
—
0300110
—
MD
01
—
1954814-001
CIGNA
MA
01
—
E178
HPHC
MA
01
—
W15896
BCBS
MA
Enumeration date
12/27/2006
Last updated
06/08/2011
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