Martino, Richard Charles
Martino, Richard Charles is an sole proprietor health care provider with primary practice located at 144 Angell Brook Dr , West Boylston MA 01583-2120. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Martino, Richard Charles can be contacted via phone (774) 261-8595.Contact Information
Primary practice address
144 Angell Brook Dr
West Boylston MA 01583-2120
Phone: (774) 261-8595
Fax: (774) 261-8595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2365 | Massachusetts |
Profile Details
| NPI number | 1134112733 |
|---|---|
| LBN Legal business name | Martino, Richard Charles |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Feb 4th, 2015 - about 11 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 | 1134112733 | NPPES |
| Massachusetts | MEDICAID | 0328073 |
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