Provider Demographics
NPI:1093864621
Name:STAFFIER, ERIC ANDREW (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ANDREW
Last Name:STAFFIER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-2735
Mailing Address - Country:US
Mailing Address - Phone:508-824-3208
Mailing Address - Fax:
Practice Address - Street 1:42 MAIN ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-2735
Practice Address - Country:US
Practice Address - Phone:508-824-3208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4332152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI29127-3OtherBCBS OF RI
MA3877807OtherAETNA HMO PROVIDER ID
MA1483638OtherCIGNA PROVIDER ID
MAW16330OtherBCBS OF MA PROVIDER ID
MAMA4332OtherEYEMED PROVIDER ID
RI410201OtherBLUE CHIP OF RI
MA7046675OtherAETNA PPO PROVIDER ID
MAW20381OtherBCBS OF MA GROUP ID
MAW21076Medicare ID - Type UnspecifiedGOUP ID
MAMA4332OtherEYEMED PROVIDER ID
MAW16330OtherBCBS OF MA PROVIDER ID