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NPI Code Detail

MEDICARE: ALICE A. CUSNER, O.D.,P.C.

MEDICARE: ALICE A. CUSNER, O.D.,P.C.
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
1332B00000XDurable Medical Equipment & Medical Supplies3025MA
2332H00000XEyewear Supplier3025MA

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 : 1629252143
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALICE A. CUSNER, O.D.,P.C.
Provider Business Mailing Address
First Line : 537 WASHINGTON ST
Second Line :
City : CANTON
State : MA
Zip : 02021-3001
Country : US
Telephone Number : 781-821-1225
Fax Number : 866-367-9090
Provider Business Practice Location Address
First Line : 537 WASHINGTON ST
Second Line :
City : CANTON
State : MA
Zip : 02021-3001
Country : US
Telephone Number : 781-821-1225
Fax Number : 866-367-9090
Authorized Official
Title or Position : PRESIDENT
Name : MS. ALICE A. CUSNER
Credential : O.D.
Telephone Number : 781-821-1225
Provider Enumeration Date : 12/19/2007
Last Update Date : 08/19/2015

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