Merlin, James Ira

Merlin, James Ira is an individual health care provider with primary practice located at 329 Conway St , Greenfield MA 01301-1521. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Merlin, James Ira can be contacted via phone (413) 774-6301.

Contact Information

Primary practice address
329 Conway St Greenfield MA 01301-1521
Phone: (413) 774-6301
Fax: (413) 772-3395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3359 Massachusetts

Profile Details

NPI number 1972601912
LBN Legal business name Merlin, James Ira
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 17th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972601912 NPPES
Massachusetts MEDICAID 110016183A
Massachusetts Other 3359

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