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MARK A. LATINA NPI 1508839291


NPI Information

NPI: 1508839291
Provider Name: MARK A. LATINA

Doing Business As: ADVANCED GLAUCOMA SPECIALISTS

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
20 PONDMEADOW DRIVE
SUITE 203
READING, MA
ZIP 01867
Phone: (781) 942-9876
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MARK A. LATINA is an ophthalmology in Reading, MA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. MARK A. LATINA NPI is 1508839291. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Glaucoma Specialists.

The provider's business location address is:

20 PONDMEADOW DRIVE
SUITE 203
READING, MA
ZIP 01867
Phone: (781) 942-9876
Fax: (781) 942-9877

The provider's authorized official is Mark A Latina .
The authorized official title is Owner and has the following contact phone number (781) 941-9876.

The enumeration date for this NPI number is 2/11/2006 and was last updated on 12/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistNo
2207W00000XOphthalmology48630MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18488OTHERFALLON
2M20149MEDICARE PINMASSACHUSETTS
3607152OTHERMASSACHUSETTSTUFTS HEALTH PLAN GROUP N
4A66345MEDICARE UPINMASSACHUSETTS
5M20149MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSGROUP MEDICARE NUMBER
6977865MEDICAIDMASSACHUSETTS
79777865MEDICAIDMASSACHUSETTS
8M16360OTHERMASSACHUSETTSBC/BS GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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