RYVETTE PAGAN RDO NPI 1790217826

NPI Information

NPI: 1790217826
Provider Name: RYVETTE PAGAN, RDO
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
26 CITY HALL MALL
MEDFORD, MA
ZIP 02155
Phone: (781) 306-5172
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Ryvette Pagan, RDO is an optician technician technologist in Medford, MA. Ryvette Pagan, RDO NPI is 1790217826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

26 CITY HALL MALL
MEDFORD, MA
ZIP 02155-754
Phone: (781) 306-5172

The enumeration date for this NPI number is 3/29/2017 and was last updated on 3/29/2017.

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
1	156FX1800X	Technician/Technologist	Optician	4420	MASSACHUSETTS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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