Petrone, Richard Michael
Petrone, Richard Michael is an sole proprietor health care provider with primary practice located at Lahey Clinic One Essex Center Drive, Peabody MA 01960. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Petrone, Richard Michael can be contacted via phone (978) 538-4416.Contact Information
Primary practice address
Lahey Clinic One Essex Center Drive
Peabody MA 01960
Phone: (978) 538-4416
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2993 | Massachusetts |
Profile Details
| NPI number | 1306939111 |
|---|---|
| LBN Legal business name | Petrone, Richard Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Nov 29th, 2010 - about 16 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 | 1306939111 | NPPES |
| Massachusetts | MEDICAID | 110016054A |
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