O'Leary, Kathleen P
O'Leary, Kathleen P is an individual health care provider with primary practice located at 10 Lincoln Sq , Worcester MA 01608-1135. She recently has 2 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 / Optometrist is her primary health care specialty. O'Leary, Kathleen P can be contacted via phone (508) 373-5830.Contact Information
Primary practice address
10 Lincoln Sq
Worcester MA 01608-1135
Phone: (508) 373-5830
Fax: (508) 519-5512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046010471 | Illinois |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 046010471 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5008 | Massachusetts |
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTG00633 | Rhode Island |
Profile Details
| NPI number | 1790072650 |
|---|---|
| LBN Legal business name | O'Leary, Kathleen P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2011 |
| Last updated | Oct 6th, 2016 - about 10 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 | 1790072650 | NPPES |
| Illinois | Other | 502720046 | MEDICARE PTAN |
| Illinois | MEDICAID | 046010471 | MEDICARE PTAN |
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