Lisa Fanciullo is a Optometrist in West Roxbury, Massachusetts. Lisa Fanciullo practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lisa Fanciullo is 1700998671. The last update date is 2007-07-08.
Lisa Fanciullo's current location address is 1400 Vfw Pkwy, West Roxbury, Massachusetts. You can contact this provider via phone number 6173237700 and fax number 8572035706. The mailing address for Lisa Fanciullo is 1400 Vfw Pkwy, West Roxbury, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Fanciullo |
|---|---|
| Address | 1400 Vfw Pkwy, West Roxbury, Massachusetts |
| Phone Number | 6173237700 |
| Fax Number | 8572035706 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1700998671 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1400 Vfw Pkwy |
|---|---|
| City | West Roxbury |
| State | Massachusetts (MA) |
| Post Code | 21324927 |
| Phone Number | 6173237700 |
| Fax Number | 8572035706 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4532 T1262 |
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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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What is the unique identifier code issued to Lisa Fanciullo by the Centers for Medicare & Medicaid Services?
The Lisa Fanciullo has been assigned the NPI (National Provider Identifier) 1700998671. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lisa Fanciullo's facilities are situated?
The facilities of Lisa Fanciullo are physically located at the following address: 1400 Vfw Pkwy, West Roxbury, MA, 21324927.
What is Lisa Fanciullo's area of expertise and its corresponding taxonomy classification?
The Lisa Fanciullo'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 the Centers for Medicare & Medicaid Services issue the 1700998671 to Lisa Fanciullo?
The Lisa Fanciullo received its 1700998671 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the details related to Lisa Fanciullo most recently updated or revised?
The information pertaining to Lisa Fanciullo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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