Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA FANCIULLO, O.D.
ActiveLISA FANCIULLO, O.D. is a Optometrist healthcare provider located in WEST ROXBURY, Massachusetts. NPI 1700998671 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WEST ROXBURY, MA
Registration Details
- NPI Number
- 1700998671
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2006 (19.937767222397 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
4532 T1262 (OH)3692 (MA)
Practice Information
- Address
-
1400 VFW PKWYWEST ROXBURY, MA, 021324927Browse MA providers · Browse ZIP 02132
- Phone
- 6173237700
- Fax
- 8572035706
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in WEST ROXBURY, MA
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID SAMUEL GREENSTEIN | O.D. , M. S. | 1376518332 |
| CARI CANNON | O.D. | 1891802435 |
| DR. RALPH JOSEPH LEVOY | O.D. | 1417066127 |
| DR. PAUL ALBERT MARESCALCHI | O.D. | 1346344082 |
| YU SU | OD | 1851554430 |
| YANPENG DING | — | 1053780692 |
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.