Organization
CHICOPEE EYECARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C MOMNIE O.D. (PRESIDENT)
(413) 592-7777
Entity
Organization
Contact information
Practice address
113 CENTER ST, CHICOPEE, MA 01013-1667
(413) 592-7777
(413) 592-9704
Mailing address
113 CENTER ST, CHICOPEE, MA 01013-1667
(413) 592-7777
(413) 592-9704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2447
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000022244
BMC HEALTHNET
MA
01
—
14538
HEALTH NEW ENGLAND
MA
05
—
9775871
—
MA
01
—
W20451
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
04/09/2007
Last updated
01/08/2015
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