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NPI Code Detail

MEDICARE: ALEXANDER OWEN

MEDICARE:   ALEXANDER  OWEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOpticianDOP6814MA

General Provider Information

NPI Number : 1013697051
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER OWEN
Provider Business Mailing Address
First Line : 30 MEMORIAL DR
Second Line :
City : AVON
State : MA
Zip : 02322-1919
Country : US
Telephone Number : 508-587-4763
Fax Number :
Provider Business Practice Location Address
First Line : 30 MEMORIAL DR
Second Line :
City : AVON
State : MA
Zip : 02322-1919
Country : US
Telephone Number : 508-587-4763
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2023
Last Update Date : 07/24/2023

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Directions to “ ALEXANDER OWEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.