Individual
MRS. DOROTHY ELIZABETH MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
617 ARNOLD AVENUE, POINT PLEASANT BEACH, NJ 08742-0502
(732) 899-1381
(732) 892-4418
Mailing address
617 ARNOLD AVENUE, POINT PLEASANT BEACH, NJ 08742-0502
(732) 899-1381
(732) 892-4418
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0615640001
MEDICARE PIN
—
Enumeration date
05/22/2007
Last updated
07/08/2007
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