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General NPI Number Information
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NPI Number | 1154854941
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Entity Type | Organization
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Legal Business Name | MASS OPTOMETRIC ASSOCIATES, PLLC
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 344 RUSSELL ST UNIT 5
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City | HADLEY
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State | MA
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Zip | 01035-5904
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Country | US
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Telephone | 413-584-0452
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Fax | 413-584-0382
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Provider Business Mailing Address
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Address Line | 175 E HOUSTON ST
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City | SAN ANTONIO
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State | TX
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Zip | 78205-2299
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Country | US
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Telephone | 800-340-0129
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Fax | 210-524-6587
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Authorized Official
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Title or Position | PRESIDENT
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Name | RANDI FRANKL
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Credential | OD
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Telephone | 516-815-1646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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