Individual
DR. MARYANN KATHERINE RUBIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1515 ALLEN ST, SUITE E, SPRINGFIELD, MA 01118-1803
(413) 782-0030
(413) 796-1985
Mailing address
1515 ALLEN ST, SUITE E, SPRINGFIELD, MA 01118-1803
(413) 782-0030
(413) 796-1985
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3541
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355852
—
MA
01
—
3541
MASSACHUSETTS LICENSE
MA
01
—
W15794
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/05/2006
Last updated
07/09/2007
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