Ricciotti, Kay R.

Ricciotti, Kay R. is an individual health care provider with primary practice located at 865 Merriam Ave Suite 121, Leominster MA 01453. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ricciotti, Kay R. can be contacted via phone (978) 537-6045.

Contact Information

Primary practice address
865 Merriam Ave Suite 121 Leominster MA 01453
Fax: (978) 534-9845
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4215 Massachusetts

Profile Details

NPI number 1699777078
LBN Legal business name Ricciotti, Kay R.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated May 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699777078 NPPES
Massachusetts MEDICAID 110014769A
Massachusetts Other 152823
Massachusetts Other 91559
Massachusetts Other 974271
Massachusetts Other 3026088
Massachusetts Other W16291
Massachusetts MEDICAID 0334961
Massachusetts Other 65269

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