Healthcare Provider Details
I. General information
NPI: 1043442023
Provider Name (Legal Business Name): ANNA MARIE CRESSEY OD, FAAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/10/2009
Last Update Date: 10/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
68 CENTRAL STREET
WELLESLEY MA
02482-5806
US
IV. Provider business mailing address
3 WEST AVE
HUDSON MA
01749-3018
US
V. Phone/Fax
- Phone: 781-239-9811
- Fax: 781-239-1010
- Phone: 207-577-6385
- Fax: 781-239-1010
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | 4744 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: