Individual
ROBERTA TEIXEIRA FERACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1885 REVERE BEACH PKWY, SUITE 03, EVERETT, MA 02149-5923
(617) 389-0099
(617) 294-2612
Mailing address
1885 REVERE BEACH PKWY, SUITE 03, EVERETT, MA 02149-5923
(617) 389-0099
(617) 294-2612
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4715
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0727288
—
MA
01
—
9027228
AETNA
MA
Enumeration date
11/14/2008
Last updated
03/01/2013
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