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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES, INC OPTOMETRY DIVISION

Active Organization

BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES, INC OPTOMETRY DIVISION is a Optometrist organization located in BROCKTON, Massachusetts. NPI 1316121775 is currently active in the NPPES registry. Verify at CMS.

Optometrist · BROCKTON, MA

Registration Details

NPI Number
1316121775
Provider Type
Organization
NPI Issued
Dec 20, 2007 (18.681245005769 yrs)
Last Updated
May 23, 2012
License
3009 (MA)

Practice Information

Address
110 LIBERTY ST
BROCKTON, MA, 023015521
Browse MA providers · Browse ZIP 02301
Phone
5088940400
Fax
5085650157
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in BROCKTON, MA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.