Individual
DR. RICHARD L. JASIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
18 GRANITE ST, HAVERHILL, MA 01832-5531
(978) 374-2010
(978) 469-9329
Mailing address
18 GRANITE ST, HAVERHILL, MA 01832-5531
(978) 374-2010
(978) 469-9329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MA3157
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0353698
—
MA
Enumeration date
02/24/2006
Last updated
03/17/2015
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