Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM MCGILLICUDDY MACIASZEK, OD
Active Sole ProprietorKIM MCGILLICUDDY MACIASZEK, OD is a Optometrist healthcare provider located in EAST LONGMEADOW, Massachusetts. NPI 1871577254 is currently active in the NPPES registry. Verify at CMS.
Optometrist · EAST LONGMEADOW, MA
Registration Details
- NPI Number
- 1871577254
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2005 (20.741932040656 yrs)
- Last Updated
- Sep 16, 2024
- License
-
3760 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
426 N MAIN STEAST LONGMEADOW, MA, 010281850Browse MA providers · Browse ZIP 01028
- Phone
- 4135253010
- Fax
- 4135257667
- Primary Specialty
-
Optometrist
152W00000X
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.