Healthcare Provider Details
I. General information
NPI: 1861888539
Provider Name (Legal Business Name): LAUREN W BIERMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/09/2015
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
441 ROUTE 130
SANDWICH MA
02563-2340
US
IV. Provider business mailing address
441 ROUTE 130
SANDWICH MA
02563-2340
US
V. Phone/Fax
- Phone: 508-888-8873
- Fax: 508-888-2392
- Phone: 508-888-8873
- Fax: 508-888-2392
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | 279200 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207WX0107X |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| License Number | 279200 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: