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BOUCHER'S OPTICIANS OF BROCKTON INC. NPI 1659543882


NPI Information

NPI: 1659543882
Provider Name: BOUCHER'S OPTICIANS OF BROCKTON, INC.
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
727 BELMONT STREET
BROCKTON, MA
ZIP 02301
Phone: (508) 586-2725
Get Directions

BOUCHER'S OPTICIANS OF BROCKTON, INC. is an optician technician technologist in Brockton, MA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. BOUCHER'S OPTICIANS OF BROCKTON, INC. NPI is 1659543882. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

727 BELMONT STREET
BROCKTON, MA
ZIP 02301-666
Phone: (508) 586-2725
Fax: (508) 586-2770

The provider's authorized official is Timothy Marshall Foote .
The authorized official title is Owner/president and has the following contact phone number (508) 586-2725.

The enumeration date for this NPI number is 3/27/2008 and was last updated on 9/24/2008.


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
1156FX1800XTechnician/TechnologistOptician1615MASSACHUSETTSYes

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
103306908387OTHERMASSACHUSETTSMASSHEALTH TRADING PARTNE
20127900001MEDICARE NSCMASSACHUSETTS
31506773OTHERMASSACHUSETTSMASSHEALTH PROVIDER

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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