Organization
OPTOMETRIC PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALERINO M IACOBBO OD (PRESIDENT)
(315) 446-3145
Entity
Organization
Contact information
Practice address
139 ENDICOTT ST, DANVERS, MA 01923
(978) 777-4700
(978) 750-0862
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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