Active NPI
Evangelina Laboy, LDO
- Optician
- Worcester, MA
National Provider Identifier
1679232706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 6309
- Practice address
- 10 Lincoln SQ
Worcester, MA 01608-1135 - Phone
- (508) 373-5820
- NPI assigned
- Dec 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 6309 | MA | Primary |
Addresses
Primary practice location
10 Lincoln SQ
Worcester, MA 01608-1135
Mailing address
129 Kennedy Rd
Tewksbury, MA 01876-2555
Phone (919) 455-6683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6309 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1679232706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 KENNEDY RD",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018762555",
"telephone_number": "919-455-6683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LINCOLN SQ",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081135",
"telephone_number": "508-373-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABOY",
"first_name": "EVANGELINA",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-16",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "6309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.