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RICHARD L. JASIAK O.D.P.C. NPI 1609044361


NPI Information

NPI: 1609044361
Provider Name: RICHARD L. JASIAK O.D.,P.C.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1 PARK WAY
HAVERHILL, MA
ZIP 01830
Phone: (978) 374-2010
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RICHARD L. JASIAK O.D.,P.C. is an eyewear supplier in Haverhill, MA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. RICHARD L. JASIAK O.D.,P.C. NPI is 1609044361. The provider is registered as an organization entity type.

The provider's business location address is:

1 PARK WAY
HAVERHILL, MA
ZIP 01830-278
Phone: (978) 374-2010

The provider's authorized official is Richard Jasiak .
The authorized official title is President and has the following contact phone number (978) 374-2010.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 4/29/2008.


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 Supplier3157MASSACHUSETTSYes

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
1407658MEDICARE PINMASSACHUSETTS
2T59406MEDICARE UPINMASSACHUSETTS
30353698MEDICAIDMASSACHUSETTS
44757130001MEDICARE NSCMASSACHUSETTS

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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