Individual
DR. MICHAEL JOHN GOUSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
120 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-2508
(413) 733-2318
(413) 732-4824
Mailing address
120 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-2508
(413) 733-2318
(413) 732-4824
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3427
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021089
BMC HEALTH NET PLAN
MA
05
—
0369446
—
MA
01
—
102459
CIGNA
MA
01
—
152198
HARVARD PILGRIM HEALTH PL
MA
01
—
2110327
AETNA
MA
01
—
24651
HEALTH NEW ENGLAND
MA
01
—
730566
CONNCETICARE
MA
01
—
763475
TUFTS HEALTH PLAN
MA
01
—
W15909
BLUE CROSS BLUE SHEILD
MA
Enumeration date
10/10/2006
Last updated
11/12/2008
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