Organization
OPTOMETRIC PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALERINO M IACOBBO OD (PRESIDENT)
(314) 446-3145
Entity
Organization
Contact information
Practice address
100 STATE ST, BOSTON, MA 02109
(617) 742-2076
(617) 557-9276
Mailing address
2921 ERIE BLVD E, OPTOMETRIC PROVIDERS INC, SYRACUSE, NY 13224
(315) 446-3145
(315) 445-7675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9781048
—
MA
Enumeration date
05/06/2006
Last updated
08/22/2020
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