Active NPI
Expedito Dealmeida, DO 6434
- Optician
- Lynn, MA
National Provider Identifier
1992564959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 6434
- Practice address
- 780 Lynnway
Lynn, MA 01905-3061 - Phone
- (781) 599-5755
- Fax
- (781) 599-0705
- NPI assigned
- Mar 13, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 6434 | MA | Primary |
Addresses
Primary practice location
780 Lynnway
Lynn, MA 01905-3061
Mailing address
407 Main St Apt 1
Medford, MA 02155-6249
Phone (781) 866-3562
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6434 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1992564959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 MAIN ST APT 1",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021556249",
"telephone_number": "781-866-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 LYNNWAY",
"city": "LYNN",
"state": "MA",
"postal_code": "019053061",
"telephone_number": "781-599-5755",
"fax_number": "781-599-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEALMEIDA",
"first_name": "EXPEDITO",
"credential": "DO 6434",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-13",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "6434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.