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1699776773

NPI Code Detail

MEDICARE: DENNIS M DORANS OD

MEDICARE: DENNIS M DORANS OD

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
1	152W00000X	Optometrist	3344	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2616968	OTHER		AETNA
2	W16079	OTHER		BCBS
3	000000020721	OTHER		HEALTHNET
4	2117490	OTHER		FIRST HEALTH
5	350274	OTHER		CMHC
6	4870600-002	OTHER		CIGNA
7	982182	OTHER		NETWORK HEALTH
8	MA1270	OTHER		EYEMED
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	334400	OTHER		CONNECTICARE
11	152675	OTHER		HARVARD PILGRIM
12	39707	OTHER		DAVIS VISION

General Provider Information

NPI Number	:	1699776773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS M DORANS OD

Provider Business Mailing Address
First Line	:	1504 N MAIN ST
Second Line	:
City	:	PALMER
State	:	MA
Zip	:	01069-1215
Country	:	US
Telephone Number	:	413-283-3511
Fax Number	:	413-283-5396

Provider Business Practice Location Address
First Line	:	1504 N MAIN ST
Second Line	:
City	:	PALMER
State	:	MA
Zip	:	01069-1215
Country	:	US
Telephone Number	:	413-283-3511
Fax Number	:	413-283-5396

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/01/2019

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Directions to “ DENNIS M DORANS OD” Practice Location

Language	Start Address	Practice Location

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