Linda A. Wirth, O.D.
Individual provider Active NPI Optometrist · Dover, MA
NPI 1063537553 · NPPES record last updated Apr 28, 2011
Key facts
- NPI
- 1063537553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3562 (MA)
- Practice address
- 2 Whiting Road
Dover, MA 02030-2374 - Phone
- (508) 785-1770
- Fax
- (508) 785-1770
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3562 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dover Eyes Inc | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3562 | MA | Yes |
Addresses
Primary practice location
2 Whiting Road
Dover, MA 02030-2374
Mailing address
2 Whiting Rd
PO Box 246
Dover, MA 02030-2451
Phone (508) 785-1770
Other providers in Dover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.