MR. ROBIN SETH ODENTZ (NPI# 1912118423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912118423 |
Entity Type | Individual |
Full Name | MR. ROBIN SETH ODENTZ |
Other Name | MRS. MIRIAM HELENE ODENTZ |
Credential | REGISTERED OPTICIAN |
Practice Address |
1964 Boston Rd Wilbraham MA 01095-1055 |
Practice Telephone | 4135434520 |
Practice Fax Number | 4135435444 |
Mailing Telephone | 4135434520 |
Mailing Fax Number | 4135435444 |
Enumeration Date | 2007-05-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | MA1690 | MA | Eye and Vision Services Providers |
Street Address |
1964 BOSTON RD |
City | WILBRAHAM |
State | MA |
Zip Code | 01095-1055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629072178 | John T. Danielson | Optometrist | 1964 Boston Rd, Wilbraham, MA 01095-1055 | 2005-06-10 |
1346524774 | Danielson Eye Care | Optometrist | 1964 Boston Rd, Wilbraham, MA 01095-1480 | 2011-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912436619 | Amanda M Bryant | Nurse Practitioner | 70 Pst Office Park, Wilbraham, MA 01095 | 2017-06-06 |
1568867539 | Michael Roy | Physical Therapist | 2301 Boston Rd, Wilbraham, MA 01095 | 2014-11-03 |
1588925440 | Jeziel Miguel Gonzalez | Physical Therapist | 6 Colonial Rd, Wilbraham, MA 01095 | 2012-06-06 |
1306117783 | Rosemary Wrona | Physical Therapist | 2 Lodge Ln, Wilbraham, MA 01095 | 2012-01-18 |
1356508584 | Big Y Foods Inc | Pharmacy | 2035 Boston Rd, Wilbraham, MA 01095 | 2008-05-16 |
1235315854 | Elizabeth L Rose | Pediatrics | Riverbend Medical Group, Inc, 70 Post Office Park, Wilbraham, MA 01095 | 2008-01-14 |
1346315140 | Mary Beth Laliberte | Physician Assistant | 2040 Boston Rd Ste 5, Wilbraham, MA 01095 | 2006-11-21 |
1003993668 | Anita Chopra | Dentist | 2141 Boston Road, Northeast Dental, Wilbraham, MA 01095 | 2006-11-01 |
1558461525 | Cynthia A Kennedy | Nurse Practitioner | 34 Sandalwood Dr, Wilbraham, MA 01095 | 2006-09-22 |
1063447357 | Susan W James | Social Worker | 919 Main St., Wilbraham, MA 01095 | 2006-07-12 |
Find all providers in zip 01095 |
Taxonomy Code | 156F00000X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
A broad category grouping different kinds of technologists and technicians. See individual definitions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033726716 | Patrick James Manders | Technician/Technologist | 52 Porter St Apt 1, Somerville, MA 02143-2318 | 2020-09-28 |
1669097689 | William Gundersen | Technician/Technologist | 64 Rowena Rd, Newton Center, MA 02459-2440 | 2020-06-15 |
1750346771 | Empire Vision Center Inc | Technician/Technologist | 700 Boston Rd, Billerica, MA 01821-5316 | 2006-04-20 |
1215915491 | Teresa Marshall-bradbury | Technician/Technologist | 100 Grove St Ste B-8, Worcester, MA 01605-2627 | 2006-01-06 |
1396353256 | Emma K Iwan | Technician/Technologist | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-07-16 |
1619436003 | Stefani Bonetti | Technician/Technologist | 109 Oak St Ste 103, Newton, MA 02464-1493 | 2019-03-15 |
1821569047 | Sarah Thibodeau | Technician/Technologist | 21 Highland Ave Ste 16, Newburyport, MA 01950-3873 | 2018-12-16 |
1255807863 | Nerijus Rackauskas | Technician/Technologist | 800 Washington St, Boston, MA 02111-1552 | 2018-10-22 |
1205316965 | Samuel Anthony Davis Jr. | Technician/Technologist | 150 South Huntington Avenue, Jamaica Plain, MA 02130 | 2018-08-21 |
1194940965 | Alice Mazzaferro | Technician/Technologist | 299 Carew St, Suite201, Springfield, MA 01104-2301 | 2007-04-16 |
Find all providers with the same taxonomy |
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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.