Giovannucci, Vincent Domenic
Giovannucci, Vincent Domenic is an sole proprietor health care provider with primary practice located at 348 Shrewsbury St , Worcester MA 01604-4616. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Giovannucci, Vincent Domenic can be contacted via phone (508) 798-2421.Contact Information
Primary practice address
348 Shrewsbury St
Worcester MA 01604-4616
Phone: (508) 798-2421
Fax: (508) 754-9093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2907 | Massachusetts |
Profile Details
| NPI number | 1972664977 |
|---|---|
| LBN Legal business name | Giovannucci, Vincent Domenic |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1972664977 | NPPES |
| Massachusetts | Other | 36521 | COLE |
| Massachusetts | Other | 22-00899 | COLE |
| Massachusetts | Other | 9956 | COLE |
| Massachusetts | Other | 152132 | COLE |
| Massachusetts | Other | 2948700 | COLE |
| Massachusetts | Other | 002907 | COLE |
| Massachusetts | Other | 2508319 | COLE |
| Massachusetts | MEDICAID | 0355984 | COLE |
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