Organization
DR. PAUL R. CIACCIO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL RICHARD CIACCIO O.D. (PRESIDENT)
(508) 255-0444
Entity
Organization
Contact information
Practice address
56 MAIN ST, BOX 1331, ORLEANS, MA 02653-9998
(508) 255-0444
(508) 255-0703
Mailing address
56 MAIN ST, PO BOX 1331, ORLEANS, MA 02653-9998
(508) 255-0444
(508) 255-0703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2724
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0335428
—
MA
01
—
0678590001
DMERC
MA
01
—
W20423
BCBS OF MASS
MA
Enumeration date
03/26/2007
Last updated
02/02/2016
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