Elaine Icban is a Optometrist in Boston, Massachusetts. Elaine Icban practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Elaine Icban is 1609814177. The last update date is 2009-03-05.
Elaine Icban's current location address is 4199 Washington St, Boston, Massachusetts. You can contact this provider via phone number 6175875520 and fax number 6175875521. The mailing address for Elaine Icban is 4199 Washington St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine Icban |
|---|---|
| Address | 4199 Washington St, Boston, Massachusetts |
| Phone Number | 6175875520 |
| Fax Number | 6175875521 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1609814177 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2009-03-05 |
Provider Mailing Address Detail
| Address | 4199 Washington St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21311733 |
| Phone Number | 6175875520 |
| Fax Number | 6175875521 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4677 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 95191001 | MA | NETWORK HEALTH | |
| 7733882 | MA | AETNA | |
| 2988926 | MA | UNITED HEALTH CARE | |
| AA131399 | MA | HARVARD PILGRIM |
Post Comment/ Review Below
What is the unique identifier code issued to Elaine Icban by the Centers for Medicare & Medicaid Services (CMS)?
The Elaine Icban has been assigned the NPI (National Provider Identifier) 1609814177. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Elaine Icban's physical address?
The Elaine Icban is physically located at 4199 Washington St, in the city of Boston, MA, with the postal code 21311733.
What is Elaine Icban's area of expertise and its corresponding taxonomy classification?
The Elaine Icban's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Elaine Icban receive its 1609814177 assignment from the Centers for Medicare & Medicaid Services?
The Elaine Icban was assigned its 1609814177 on 2006-06-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Elaine Icban most recently updated or revised?
The details related to Elaine Icban, including its address, specialty, and other relevant information, were last updated or revised on 2009-03-05.
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