Dr Azadeh Suppappola, OD | |
25 Marston Street #104, Boston Eye Group, Lawrence, MA 01841 | |
(978) 685-5366 | |
(978) 685-4867 |
Full Name | Dr Azadeh Suppappola |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 25 Marston Street #104, Lawrence, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538500202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4975 (Massachusetts) | Secondary |
152W00000X | Optometrist | 0877 (New Hampshire) | Primary |
Provider Name | Myeyedr Optometry Of Massachusetts P C |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124534946 PECOS PAC ID: 1951661297 Enrollment ID: O20180207001047 |
Provider Name | Boston Eye Group Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205313525 PECOS PAC ID: 9739420803 Enrollment ID: O20190418001263 |
Mailing Address | Practice Location Address |
---|---|
Dr Azadeh Suppappola, OD 25 Marston Street #104, Boston Eye Group, Lawrence, MA 01841 Ph: (978) 685-5366 | Dr Azadeh Suppappola, OD 25 Marston Street #104, Boston Eye Group, Lawrence, MA 01841 Ph: (978) 685-5366 |
Paulette D Turco, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843 Phone: 978-688-6182 Fax: 978-689-0731 | |
Aileen Maria, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 360 Merrimack St, Bldg 9, Lawrence, MA 01843 Phone: 978-688-6182 Fax: 978-689-0731 | |
Kristin B Tallman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843 Phone: 978-688-6182 Fax: 978-689-0731 | |
Boston Eye Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 280 Haverhill St, Lawrence, MA 01840 Phone: 978-685-5366 Fax: 978-685-4867 | |
David H Rein, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 327 Essex St, Lawrence, MA 01840 Phone: 978-689-4402 | |
Thu Minh Thach, OD Optometrist Medicare: Medicare Enrolled Practice Location: 360 Merrimack St, Lawrence, MA 01843 Phone: 978-688-6182 | |
Tallman Eye Associates, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843 Phone: 978-688-6182 Fax: 978-689-0731 |