David W Dougan, OPTICIAN
Individual provider Active NPI Optician · Orange, MA
NPI 1154571925 · NPPES record last updated Sep 29, 2008
Key facts
- NPI
- 1154571925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- MA4163 (MA)
- Practice address
- 119 New Athol Rd
Orange, MA 01364-9603 - Phone
- (978) 249-9033
- Fax
- (978) 249-9020
- NPI assigned
- Sep 29, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA4163 | MA | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | MA4163 | MA | Yes |
Addresses
Primary practice location
119 New Athol Rd
Orange, MA 01364-9603
Mailing address
119 New Athol Rd
Orange, MA 01364-9603
Phone (978) 249-9033
Other providers in Orange, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.