| |
170 Main Street, Agawam, MA 01001-1803 | |
(413) 789-7711 | |
(413) 789-1197 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 170 Main Street, Agawam, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023152477 | NPI | - | NPPES |
9780602 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3468 (Massachusetts) | Primary |
Provider Name | Madonna Maria Santos |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457450587 PECOS PAC ID: 1355438912 Enrollment ID: I20071029000414 |
Mailing Address | Practice Location Address |
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170 Main Street, Agawam, MA 01001-1803 Ph: (413) 789-7711 | 170 Main Street, Agawam, MA 01001-1803 Ph: (413) 789-7711 |
Dr. Andrew E Boraski, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 334 Walnut Street Ext, Agawam, MA 01001 Phone: 413-789-0031 Fax: 413-789-1877 | |
Madonna Maria Santos, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 170 Main St, Agawam, MA 01001 Phone: 413-789-7711 Fax: 413-789-1197 | |
Andrew E. Boraski Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 334 Walnut Street Ext, Agawam, MA 01001 Phone: 413-789-0031 Fax: 413-789-1877 |