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JASON M. GILBERT MDPC NPI 1396955001


NPI Information

NPI: 1396955001
Provider Name: JASON M. GILBERT MDPC

Doing Business As: OPTICAL ADVANTAGE

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
101 MAIN STREET
SUITE 208
MEDFORD, MA
ZIP 02155
Phone: (781) 395-5859
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JASON M. GILBERT MDPC is an eyewear supplier in Medford, MA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. JASON M. GILBERT MDPC NPI is 1396955001. The provider is registered as an organization entity type.
The provider Is Doing Business As Optical Advantage.

The provider's business location address is:

101 MAIN STREET
SUITE 208
MEDFORD, MA
ZIP 02155
Phone: (781) 395-5859

The provider's authorized official is Jason M Gilbert .
The authorized official title is Owner and has the following contact phone number (781) 395-9916.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/4/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14748350001MEDICARE ID-TYPE UNSPECIFIED

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: 4/28/2024

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