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Individual

DR. JOHN WINSTON ARCHIBALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
476 MASS AVE, ARLINGTON, MA 02474-5106
(781) 648-2342
(781) 648-2346
Mailing address
476 MASS AVE, ARLINGTON, MA 02474-5106
(781) 648-2342
(781) 648-2346

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2163
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0127570001
MEDICARE DME
05
0300519
MA
01
540909060
RAILROAD MEDICARE
01
713846
TUFTS HEALTH
MA
01
W16179
BLUE CROSS
MA
Enumeration date
09/08/2005
Last updated
09/21/2009
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