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GREATER LAWRENCE OPTICAL NPI 1700954435


NPI Information

NPI: 1700954435
Provider Name: GREATER LAWRENCE OPTICAL
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
280 HAVERHILL ST
LAWRENCE, MA
ZIP 01840
Phone: (978) 685-4867
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GREATER LAWRENCE OPTICAL is an eyewear supplier in Lawrence, MA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. GREATER LAWRENCE OPTICAL NPI is 1700954435. The provider is registered as an organization entity type.

The provider's business location address is:

280 HAVERHILL ST
LAWRENCE, MA
ZIP 01840
Phone: (978) 685-4867
Fax: (978) 685-4867

The provider's authorized official is Kenneth L Macoul .
The authorized official title is Owner and has the following contact phone number (978) 685-4867.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 7/30/2008.


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
1332H00000XEyewear SupplierYes

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
11520458MEDICAIDMASSACHUSETTS

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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