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Individual

DR. WILLIAM MOSER PRENTISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
85 CONSTITUTION LANE, SUITE 100C, DANVERS, MA 01923
(978) 774-7033
(978) 774-0341
Mailing address
85 CONSTITUTION LANE, SUITE 100C, DANVERS, MA 01923
(978) 774-7033
(978) 774-0341

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3725
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0035493
NEIGHBORHOOD HEALTH PLAN
MA
05
0392316
MA
01
151089
HARVARD PILGRM
MA
01
3330581
AETNA
MA
01
42852
DAVIS VISION
MA
01
59234
FALLON
MA
01
755413
TUFTS
MA
01
9787747033
VISION SERVICE PLAN
MA
01
VC6000251585AD001
MASS REHAB COMMISSION
MA
01
W15990
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/02/2006
Last updated
02/27/2008
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