Individual
DR. LEE EDWARD GUERTIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
255 COUNTY ST, SOMERSET, MA 02726-4240
(508) 676-8167
(508) 676-1434
Mailing address
86 PURGATORY RD, SUTTON, MA 01590-2803
(508) 865-0696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4074
MA
152W00000X
Optometrist
MG0358033M (TPA)
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0702102
—
MA
05
—
110024738A
—
MA
01
—
152748
HARVARD PILGRIM
MA
01
—
22-00849
UNITED HEALTH CARE
MA
01
—
23640-7
BCBS RHODE ISLAND
RI
01
—
411983
BCBS RI BLUE CHIP
RI
01
—
454708
TUFTS HEALTH PLAN
MA
01
—
W16263
BCBS MASSACHUSETTS
MA
Enumeration date
06/10/2005
Last updated
12/17/2021
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