Stanley David Bukowiec, DO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

MA1713 Issued in MA

Practice address

17 Village SQ
Chelmsford, MA 01824-2712

Phone

(978) 256-8224

Fax

(978) 256-8224

NPI assigned

Aug 31, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Massachusetts Opticians Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chelmsford, MA
  • NPI 1629251046
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376654954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-256-8224",
            "fax_number": "978-256-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-256-8224",
            "fax_number": "978-256-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKOWIEC",
        "first_name": "STANLEY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "MA1713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1534025",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elinor Brown, MD
• Jemel Milton Brown
• Sarah Elizabeth Brown
• Amy Doolin Brunaccini, LICSW
• Casey Bryson, DPT
• Bruce William Bunker, O.D.
• Marci Burns
• Melissa M Burt, CCC-A
• Elnora Burton, ARNP
• Samantha A Cail, MSW

• Optician in Chelmsford, MA
• Providers in Chelmsford, MA by specialty
• Optician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.