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
Phone: (413) 586-5002
Fax: (413) 586-4769
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578640678 | NPPES |
| Massachusetts | Other | W15722 | BLUE CROSS BLUE SHIELD |
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