Southboro Medical Group, Inc. in Southborough - Optometrist
Southboro Medical Group, Inc. - NPI 1578637724
Southboro Medical Group, Inc. is a Optometrist in Southborough, Massachusetts. Southboro Medical Group, Inc. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Southboro Medical Group, Inc. is 1578637724. The last update date is 2020-08-22.
Southboro Medical Group, Inc.'s current location address is 24 Newton St, Southborough, Massachusetts. You can contact this provider via phone number 5084815500 and fax number 5084603025. The mailing address for Southboro Medical Group, Inc. is 24 Newton St, Southborough, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southboro Medical Group, Inc. |
|---|---|
| Address | 24 Newton St, Southborough, Massachusetts |
| Phone Number | 5084815500 |
| Fax Number | 5084603025 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ostrovsky Marvin |
| Credentials | M.D. |
| Telephone Number | 5084815500 |
NPI Number Detail
| NPI Number | 1578637724 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 24 Newton St |
|---|---|
| City | Southborough |
| State | Massachusetts (MA) |
| Post Code | 17721215 |
| Phone Number | 5084815500 |
| Fax Number | 5084603025 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
|
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 |
|---|---|---|---|
| 687740 | MA | TUFTS OPTOMETRY GROUP |
Post Comment/ Review Below
What is the unique provider identifier assigned to Southboro Medical Group, Inc.?
The Southboro Medical Group, Inc. has been issued the NPI (National Provider Identifier) 1578637724 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Southboro Medical Group, Inc. is geographically located?
The Southboro Medical Group, Inc. is physically situated at the following location: 24 Newton St, Southborough, MA, 17721215.
What is Southboro Medical Group, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southboro Medical Group, Inc. is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Southboro Medical Group, Inc. receive the assignment of its 1578637724 from the Centers for Medicare & Medicaid Services?
The Southboro Medical Group, Inc. was issued its 1578637724 by the Centers for Medicare & Medicaid Services on 2006-11-20.
When was the information pertaining to Southboro Medical Group, Inc. most recently updated or revised?
The details related to Southboro Medical Group, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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