Individual
DR. JOHN CAMMISA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1624 MAIN ST, SPRINGFIELD, MA 01103-1224
(413) 737-3937
Mailing address
56 GRANVILLE RD, SOUTHWICK, MA 01077-9213
(413) 569-5547
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3583
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391751
—
MA
01
—
W15914
BLUE CROSS,SHIELD,HMOBLUE
MA
Enumeration date
03/29/2007
Last updated
07/08/2007
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