Abbondanza, John Mark
Abbondanza, John Mark is an individual health care provider with primary practice located at 30 Turnpike Rd Suite 7, Southborough MA 01772-2114. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Pediatrics is his primary health care specialty. Abbondanza, John Mark can be contacted via phone (508) 481-8558.Contact Information
Primary practice address
30 Turnpike Rd Suite 7
Southborough MA 01772-2114
Phone: (508) 481-8558
Fax: (508) 848-3057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3407 | Massachusetts |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 3407 | Massachusetts |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 3407 | Massachusetts |
Profile Details
| NPI number | 1902992886 |
|---|---|
| LBN Legal business name | Abbondanza, John Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | May 19th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902992886 | NPPES |
| Massachusetts | MEDICAID | 0369322 |
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