Michael J Gousy, Od Llc | |
509 Southwick Rd, Westfield, MA 01085-4734 | |
(413) 568-0180 | |
(413) 642-6142 |
Full Name | Michael J Gousy, Od Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 509 Southwick Rd, Westfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396886479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Michael J Gousy |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689761561 PECOS PAC ID: 2961473699 Enrollment ID: I20040804001653 |
Mailing Address | Practice Location Address |
---|---|
Michael J Gousy, Od Llc 509 Southwick Rd, Westfield, MA 01085-4734 Ph: (413) 568-0180 | Michael J Gousy, Od Llc 509 Southwick Rd, Westfield, MA 01085-4734 Ph: (413) 568-0180 |
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