Individual
DR. WILLIAM HENRY LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
336 WALNUT ST, NEWTONVILLE, MA 02460-1923
(617) 964-9666
(617) 964-3380
Mailing address
18 CYPRESS ST, MARBLEHEAD, MA 01945-1926
(781) 639-0090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2719
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0335118
—
MA
01
—
37962
DAVIS VISION
MA
01
—
460314
TUFTS
MA
01
—
600000009
HARVARD PILGRIM
MA
01
—
LIW15558
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/01/2006
Last updated
11/17/2008
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