Plymouth Bridgewater Eye Care
Organization Active NPI Optometrist · Bridgewater, MA
NPI 1992813307 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992813307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 2663 (MA)
- Legal business name
- PLYMOUTH BRIDGEWATER EYE CARE
- Practice address
- 54 Broad St
Bridgewater, MA 02324-1748 - Phone
- (508) 697-8001
- NPI assigned
- Aug 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Sherman Andrew Geller, O.D.
- Title
- Owner508
- Phone
- (508) 697-8001
Practitioners 4
-
Caroline Bertler, OD
-
Timothy T Lynch, OD
-
Mitz Syed Qutb, OD
National Provider Directory
Locations
27 Court St
Plymouth, MA 02360
Phone (508) 746-2080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 2663 | MA | Yes |
Addresses
Primary practice location
54 Broad St
Bridgewater, MA 02324-1748
Mailing address
804 Long Pond Rd
Plymouth, MA 02360-2648
Phone (508) 224-4667
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0356395 | Medicaid | MA |
Other providers in Bridgewater, MA
- Shannon Dianne Pickett
- Ann Pimental
- Tycin William Pina
- Tara Plante
- Aislyn M Plath
- Briana Polvere
- Positive Directions Behavioral Services, LLC
- Grier Potter
- John Anthony Power III
- Robert A Prentky
All providers in Bridgewater, MA · Optometrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.