Doctor Name: | MARGARET SHEA |
NPI Number: | 1346609039 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDO |
License Number: | 6319 |
Business Practice Address: | 382 N Main St Suite 101 East Longmeadow, MA - 010281828 |
Business Phone Number: | 4135258601 |
Business Fax Number: | 4135258604 |
Mailing Address: | 382 N Main St, Suite 101 EAST LONGMEADOW |
State: | MA |
Postal Code: | 010281828 |
Phone Number: | 4135258601 |
Fax Number: | 4135258604 |
NPI Enumeration Date: | 02/23/2016 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 6319 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |