Healthcare Provider Details
I. General information
NPI: 1467366203
Provider Name (Legal Business Name): ALPHA OPTICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
187 CONCORD ST
FRAMINGHAM MA
01702-6701
US
IV. Provider business mailing address
187 CONCORD ST
FRAMINGHAM MA
01702-6701
US
V. Phone/Fax
- Phone: 508-879-7642
- Fax:
- Phone: 508-879-7642
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 156FC0801X |
| Taxonomy | Contact Lens Fitter |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
LEONIS
SPAGNOL
DE FARIA
Title or Position: OPTICIAN/OWNER
Credential: LDO
Phone: 508-879-7642