Healthcare Provider Details

I. General information

NPI: 1205844792
Provider Name (Legal Business Name): MARIA FRANCESCA SERIO OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA FRANCESCA D'NOFRIO

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 10/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 WORCESTER ST SUITE 130
WELLESLEY MA
02482-3744
US

IV. Provider business mailing address

888 WORCESTER ST SUITE 130
WELLESLEY MA
02482-3744
US

V. Phone/Fax

Practice location:
  • Phone: 617-964-6681
  • Fax: 888-662-0859
Mailing address:
  • Phone: 617-964-6681
  • Fax: 339-686-2561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2701
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberODTA00355
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: