Organization
MARK BIRRELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A BIRRELL O.D. (OWNER)
(413) 572-0003
Entity
Organization
Contact information
Practice address
555 HUBBARD AVE, PITTSFIELD, MA 01201-3876
(413) 442-2848
Mailing address
26 WILLOW LN, LENOX, MA 01240-2324
(413) 637-4427
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3653
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356328
—
MA
Enumeration date
11/15/2006
Last updated
10/25/2007
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