Provider Demographics
NPI:1083709257
Name:FERRERA, SAUNDRA (OD)
Entity Type:Individual
Prefix:DR
First Name:SAUNDRA
Middle Name:
Last Name:FERRERA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 MERRIAM AVE
Mailing Address - Street 2:STE 127
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-1236
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 TECHNOLOGY DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2791
Practice Address - Country:US
Practice Address - Phone:978-568-8228
Practice Address - Fax:978-568-0330
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4325152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW17509Medicare PIN