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NPI Code Detail

MEDICARE: DR. GERALD CHASKELSON O.D.

MEDICARE: DR. GERALD CHASKELSON O.D.
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
1152W00000XOptometrist2213MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
199754201OTHERMANETWORK HEALTH
20024336OTHERMANEIGHBORHOOD HEALTH PLAN
302298OTHERNYDAVIS VISION
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5725446OTHERMATUFTS HEATH PLAN
6W15385OTHERMABLUE CROSS BLUE SHIELD MA

General Provider Information

NPI Number : 1306929187
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERALD CHASKELSON O.D.
Provider Business Mailing Address
First Line : 236 NICHOLAS DRIVE
Second Line :
City : LANCASTER
State : MA
Zip : 01523
Country : US
Telephone Number : 978-368-1998
Fax Number :
Provider Business Practice Location Address
First Line : 119 NEW ATHOL RD
Second Line :
City : ORANGE
State : MA
Zip : 01364-9603
Country : US
Telephone Number : 978-249-6308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 07/09/2007

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