Individual
MR. SALVATORE N IMPERATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEARING INSTRUMENT S
Contact information
Practice address
395 MAIN STREET SOUTH, SOUTH BARRE, MA 01074
(978) 355-2191
(978) 355-2020
Mailing address
395 MAIN STREET SOUTH, PO BOX 78, SOUTH BARRE, MA 01074
(978) 355-2191
(978) 355-2020
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
4043
MA
156FX1800X
Optician
Primary
4043
MA
174400000X
Specialist
0034
MA
247200000X
Other Technician
0034
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110028800A
MASSHEALTH HEARING
MA
01
—
110028800B
MASSHEALTH
MA
05
—
1537903
—
MA
01
—
45806
FALLON
MA
01
—
95162501
NETWORKHEALTH
MA
01
—
BAROPT123
UNICARE
MA
01
—
OP2873
EYEMED
MA
Enumeration date
03/06/2007
Last updated
11/01/2012
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