Physician Compare National (NPI:1588708713)

HEALTHCARE PROVIDER: MICHAEL E DOBROWOLSKI O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1588708713
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446319156
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081111000211
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOBROWOLSKI
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW ENGLAND COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	395 S MAIN ST
	Group Practice or individual's line 1 address
City	MANCHESTER
	Group Practice or individual's city
State	NH
	Group Practice or individual's state
Zip Code	031024841
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y