Organization
HENDRIK KROSSCHELL OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENDRIK KROSSCHELL III O.D. (OWNER)
(508) 761-6100
Entity
Organization
Contact information
Practice address
734 NEWPORT AVE, UNIT 4, ATTLEBORO, MA 02703-5935
(508) 761-6100
(508) 761-5500
Mailing address
734 NEWPORT AVE, UNIT 4, ATTLEBORO, MA 02703-5935
(508) 761-6100
(508) 761-5500
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2923
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006046
NEIGHBORHOOD HEALTH PLAN
—
05
—
0351288
—
MA
01
—
152151
HARVARD PILGRIM HEALTH CARE
—
01
—
2202005
UNITED HEALTHCARE
—
01
—
220358
RHODE ISLAND BCBS
—
01
—
2434507
AETNA/US HEALTHCARE
—
01
—
32222
BMC HEALTHNET PLAN
—
01
—
401061
BLUE CHP OF RHODE ISLAND
—
01
—
7901678
AETNA
—
01
—
W15565
BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS
—
Enumeration date
01/03/2012
Last updated
01/03/2012
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