Individual
DR. DONALD BRUCE NINNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
101 INDEPENDENCE MALL WAY, LENS CRAFTERS, KINGSTON, MA 02364-3048
(781) 588-7029
Mailing address
100 BLUFF AVE, SWANSEA, MA 02777-1644
(508) 822-8626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4092
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313131
—
MA
01
—
152257
HARVARD PILGRIM
MA
01
—
W16148
BCBS
MA
Enumeration date
11/17/2006
Last updated
09/17/2013
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