Optometric Providers INC

NPI #1154370468 in Falmouth, Massachusetts

Provider Information

NPI Number: 1154370468
Entity Type: Organization
Organization Name: Optometric Providers INC
Primary Specialty: Optometrist
Enumeration Date: May 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 17 DAVIS STRAIGHTS RD
Address 2: RTE 28
City: Falmouth
State: Massachusetts
ZIP Code: 02540
Phone: (508) 495-0332

Authorized Official

Name: MR. ALERINO M IACOBBO, OD
Title: PRESIDENT
Phone: (315) 446-3145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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