Individual
IOANIS PANAGIOTOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
360 MERRIMACK ST, BLDG 9, ENTRANCE I, LAWRENCE, MA 01843-1740
(978) 688-6182
(978) 689-0731
Mailing address
360 MERRIMACK ST, BLDG 9, ENTRANCE I, LAWRENCE, MA 01843-1740
(978) 688-6182
(978) 689-0731
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4665
MA
152W00000X
Optometrist
813
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110078437A
—
MA
05
—
3091085
—
NH
Enumeration date
02/28/2008
Last updated
11/25/2013
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