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NPI Code Detail

MEDICARE: JOHN CAPINO MD

MEDICARE: JOHN CAPINO MD
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
1207W00000XOphthalmology Physician57517MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730147612
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN CAPINO MD
Provider Business Mailing Address
First Line : 1230 BRIDGE ST STE 2
Second Line :
City : LOWELL
State : MA
Zip : 01850-1261
Country : US
Telephone Number : 978-452-2100
Fax Number : 978-446-0490
Provider Business Practice Location Address
First Line : 1230 BRIDGE ST
Second Line : MERRIMACK EYE CLINIC
City : LOWELL
State : MA
Zip : 01850
Country : US
Telephone Number : 978-452-2100
Fax Number : 978-446-0490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 08/09/2020

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