Individual
ROBERT MICHAEL TIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
465 GREAT RD, ACTON, MA 01720
(978) 266-0017
(978) 263-5700
Mailing address
PO BOX 301, MAYNARD, MA 01754
(978) 266-0017
(978) 263-5700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3015
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347299
—
MA
01
—
1007735
AETNA
—
01
—
152084
HARVARD PILGRIM
MA
01
—
39879
DAVIS VISION
—
01
—
702894
TUFTS
MA
01
—
W15588
BLUE CROSS
MA
01
—
W201575
CIGNA
—
Enumeration date
01/20/2006
Last updated
07/08/2007
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