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NPI Code Detail

MEDICARE: MICHAEL M FU O.D.

MEDICARE: MICHAEL M FU O.D.
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
1152W00000XOptometrist4076MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154342624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL M FU O.D.
Provider Business Mailing Address
First Line : 479 OLD UNION TPKE
Second Line :
City : LANCASTER
State : MA
Zip : 01523-3029
Country : US
Telephone Number : 978-537-3900
Fax Number : 978-537-6030
Provider Business Practice Location Address
First Line : 479 OLD UNION TPKE
Second Line :
City : LANCASTER
State : MA
Zip : 01523-3029
Country : US
Telephone Number : 978-537-3900
Fax Number : 978-537-6030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 04/27/2009

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1932120409 — RICHARD C ERICKSON O.D.
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Directions to “ MICHAEL M FU O.D.” Practice Location

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