Paul Charles Distefano in Tewksbury - Optometrist
Paul Charles Distefano - NPI 1073689584
Paul Charles Distefano is a Optometrist in Tewksbury, Massachusetts. Paul Charles Distefano practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Paul Charles Distefano is 1073689584. The last update date is 2007-07-08.
Paul Charles Distefano's current location address is 333 Main St, Tewksbury, Massachusetts. You can contact this provider via phone number 9788517457 and fax number 9788517138. The mailing address for Paul Charles Distefano is 333 Main St, Tewksbury, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Charles Distefano |
|---|---|
| Address | 333 Main St, Tewksbury, Massachusetts |
| Phone Number | 9788517457 |
| Fax Number | 9788517138 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1073689584 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 333 Main St |
|---|---|
| City | Tewksbury |
| State | Massachusetts (MA) |
| Post Code | 18761727 |
| Phone Number | 9788517457 |
| Fax Number | 9788517138 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2439 |
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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 |
|---|---|---|---|
| 325902 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Paul Charles Distefano by the Centers for Medicare & Medicaid Services?
The Paul Charles Distefano has been assigned the NPI (National Provider Identifier) 1073689584 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Paul Charles Distefano is located?
The Paul Charles Distefano is situated at the following address: 333 Main St, Tewksbury, MA, 18761727.
What is Paul Charles Distefano's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul Charles Distefano's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did the Paul Charles Distefano receive its 1073689584 assignment from the Centers for Medicare & Medicaid Services?
The Paul Charles Distefano was assigned its 1073689584 by the Centers for Medicare & Medicaid Services on 2006-11-27.
As of what date was the information regarding Paul Charles Distefano, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paul Charles Distefano, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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