Individual
DAVID ANDREW MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1070 IYANNOUGH RD, HYANNIS, MA 02601-1871
(508) 771-9701
(508) 778-6663
Mailing address
1070 IYANNOUGH RD, HYANNIS, MA 02601-1871
(508) 771-9701
(508) 778-6663
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3530
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391867
—
MA
01
—
HP150463
HARVARD PILGRIM
MA
01
—
W20183
BLUE CROSS BLUE SHIELD
ME
Enumeration date
08/17/2006
Last updated
03/14/2008
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