Individual
MIEU D. VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
101 INDEPENDENCE MALL WAY, C/O LENSCRAFTERS, KINGSTON, MA 02364-3048
(781) 585-6883
Mailing address
101 INDEPENDENCE WAY, KINGSTON, MA 02747-1280
(781) 588-7029
(781) 585-1880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4359
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0329312
—
MA
01
—
4359
TPA OPTOMETRIST LIC. MA
MA
01
—
469654
TUFTS
MA
05
—
9785141
—
MA
01
—
AA95328
HARVARD PILGRIM
MA
01
—
W16374
BCBS MA
MA
Enumeration date
06/13/2005
Last updated
09/06/2019
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