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Individual

CARLOS R. DEFREITAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
500 FAUNCE CORNER RD, SUITE 110, NORTH DARTMOUTH, MA 02747-1278
(508) 717-0270
(508) 995-3060
Mailing address
500 FAUNCE CORNER RD, SUITE 110, NORTH DARTMOUTH, MA 02747-1278
(508) 717-0270
(508) 995-3060

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3839
MA
152W00000X
Optometrist
ODTG00461
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0369969
MA
05
9007998
RI
01
W16157
B/C B/S OF MASS
MA
Enumeration date
09/30/2005
Last updated
07/08/2025
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