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NPI Code Detail

MEDICARE: HANS VONNAHME OD

MEDICARE:   HANS  VONNAHME  OD
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
1152W00000XOptometrist4202MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100000002205OTHERBMC
2MA4204OTHERMAEYEMED
3W16447OTHERBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
528419OTHERMAHEALTH NEW ENGLAND
67148370OTHERMAAETNA

General Provider Information

NPI Number : 1184783235
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANS VONNAHME OD
Provider Business Mailing Address
First Line : 98 LOWER WESTFIELD RD
Second Line : SUITE 9
City : HOLYOKE
State : MA
Zip : 01040-9403
Country : US
Telephone Number : 413-552-3937
Fax Number : 413-552-3937
Provider Business Practice Location Address
First Line : 98 LOWER WESTFIELD RD
Second Line :
City : HOLYOKE
State : MA
Zip : 01040-9403
Country : US
Telephone Number : 413-552-3937
Fax Number : 888-935-4545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 03/26/2015

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Directions to “ HANS VONNAHME OD” Practice Location

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