Organization
FREDERIC ROSE, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC ROSE OD (DR.)
(978) 374-0386
Entity
Organization
Contact information
Practice address
72 MERRIMACK ST, HAVERHILL, MA 01830-6207
(978) 374-0386
(978) 372-3631
Mailing address
72 MERRIMACK ST, HAVERHILL, MA 01830-6207
(978) 374-0386
(978) 372-3631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MA2139
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0396516
—
MA
01
—
1205817137
BLUE CROSS BLUE SHIELD
MA
01
—
151464
HARVARD PILGRIM HEALTHCAR
MA
01
—
1962613737
MEDICARE
MA
01
—
2200374
UNITED HEALTHCARE
MA
01
—
507326
AETNA
MA
01
—
705074
TUFTS
MA
Enumeration date
05/24/2007
Last updated
02/20/2009
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