Ruggiero, Theresa J

Ruggiero, Theresa J is an sole proprietor health care provider with primary practice located at 86 Masonic Street , Northampton MA 01060-1833. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Ruggiero, Theresa J can be contacted via phone (413) 586-5002.

Contact Information

Primary practice address
86 Masonic Street Northampton MA 01060-1833
Fax: (413) 586-4769
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 04-3192348 Massachusetts
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 04-3192348 Massachusetts
Eye and Vision Services Providers / Vision Therapy 152WV0400X 04-3192348 Massachusetts

Profile Details

NPI number 1578640678
LBN Legal business name Ruggiero, Theresa J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Oct 4th, 2011 - about 14 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 1578640678 NPPES
Massachusetts Other W15722 BLUE CROSS BLUE SHIELD

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