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NPI Code Detail

MEDICARE: DR EDWARD H FICTCH OPTOMETRY INC

MEDICARE: DR EDWARD H FICTCH OPTOMETRY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1544115OTHERAETNA/ US HEALTHCARE
2805604OTHERTUFTS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
40538750001OTHERDMERC
5W20013OTHERBCBS

General Provider Information

NPI Number : 1033100417
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR EDWARD H FICTCH OPTOMETRY INC
Provider Business Mailing Address
First Line : 27 FALMOUTH HEIGHTS RD
Second Line :
City : FALMOUTH
State : MA
Zip : 02540-3660
Country : US
Telephone Number : 508-548-0505
Fax Number : 508-548-0382
Provider Business Practice Location Address
First Line : 27 FALMOUTH HEIGHTS RD
Second Line :
City : FALMOUTH
State : MA
Zip : 02540-3660
Country : US
Telephone Number : 508-548-0505
Fax Number : 508-548-0382
Authorized Official
Title or Position : PRESIDENT
Name : DR. EDWARD H FITCH
Credential :
Telephone Number : 508-548-0505
Provider Enumeration Date : 11/03/2005
Last Update Date : 08/22/2020

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Directions to “DR EDWARD H FICTCH OPTOMETRY INC ” Practice Location

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