LEONID DEMIHOVSKY (NPI# 1538510318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538510318 |
| Entity Type | Individual |
| Full Name | LEONID DEMIHOVSKY |
| Practice Address |
38 Southbridge St Worcester MA 01608-2019 |
| Practice Telephone | 5087919291 |
| Practice Fax Number | 5087919292 |
| Mailing Telephone | 5087919291 |
| Mailing Fax Number | 5087919292 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
5477 | MA | Eye and Vision Services Providers |
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
5477 | MA | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
5477 | MA | Eye and Vision Services Providers |
| Street Address |
38 SOUTHBRIDGE ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942600648 | Bruce Goral | Technician/Technologist | 38 Southbridge St, Worcester, MA 01608-2019 | 2014-08-29 |
| 1922552157 | D&m Optical & Hearing Aid Corp | Technician/Technologist | 38 Southbridge St, Worcester, MA 01608-2019 | 2016-08-04 |
| 1033562574 | D&m Optical & Hearing Aid Corp | Technician/Technologist | 38 Southbridge St, Worcester, MA 01608-2019 | 2016-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689161846 | Andrew Metz | Technician/Technologist | 188 Park Ave, Worcester, MA 01609-2240 | 2018-04-13 |
| 1396153706 | Michael Plante | Technician/Technologist | 1099 Pleasant St, Worcester, MA 01602-1267 | 2014-07-29 |
| 1770830184 | Gerald Patrick Hastings Jr. | Technician/Technologist | 10 Lincoln Square, Worcester, MA 01608 | 2012-08-06 |
| 1619285780 | In Style Optical | Technician/Technologist | 666 Lincoln St, Worcester, MA 01605-2011 | 2010-09-22 |
| 1033396791 | Joseph R. Erickson | Technician/Technologist | 12 Palace Gardens Rd, Worcester, MA 01607-1725 | 2008-01-24 |
| 1912527821 | Sandra Jean Coyne | Technician/Technologist | 631 Lincoln St, Worcester, MA 01605-2010 | 2020-04-21 |
| 1033562574 | D&m Optical & Hearing Aid Corp | Technician/Technologist | 38 Southbridge St, Worcester, MA 01608-2019 | 2016-07-20 |
| 1326433129 | James M Johnston | Technician/Technologist | 31 Lincoln St, Worcester, MA 01605-2633 | 2015-03-30 |
| 1457759987 | Joseph Damon Jr. | Technician/Technologist | 26 Queen St, Optical Shop, Worcester, MA 01610-2473 | 2014-12-16 |
| 1376875914 | Diane Matuck | Technician/Technologist | 19 Tacoma St, Worcester, MA 01605-3516 | 2010-02-08 |
| Find all providers in WORCESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.