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

DR. MATTHEW J. MODDERNO, O.D.

Active Sole Proprietor

DR. MATTHEW J. MODDERNO, O.D. is a Optometrist healthcare provider located in NORWOOD, Massachusetts. NPI 1649330390 is currently active in the NPPES registry. Verify at CMS.

Optometrist · NORWOOD, MA

Registration Details

NPI Number
1649330390
Provider Type
Individual
Gender
Male
NPI Issued
Dec 11, 2006 (19.667586518553 yrs)
Last Updated
Jul 8, 2007
License
4353 (MA)
Sole Proprietor
Yes

Practice Information

Address
138 NAHATAN ST.
NORWOOD, MA, 02062
Browse MA providers · Browse ZIP 02062
Phone
7812551505
Fax
7812551507
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in NORWOOD, MA

Name Credential NPI
BRIAN D BRAVEMAN OD 1639151699
H. DAVID TABAIE O.D. 1124004247
DR. NABEEL KHUDAIRI O.D. 1265487607
DR. LEIGH C KOZAK O.D. 1295839942
DR. MARJORIE ANN COHEN O.D. 1669552238
DR. STEVEN SHARMA O.D 1053435966
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.