Individual
JAMES IRA MERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
329 CONWAY ST, GREENFIELD, MA 01301-1521
(413) 774-6301
(413) 772-3395
Mailing address
329 CONWAY ST, GREENFIELD, MA 01301-1521
(413) 774-6301
(413) 772-3395
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3359
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110016183A
—
MA
01
—
3359
MA STATE LICENSE
MA
Enumeration date
09/21/2006
Last updated
03/17/2018
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