Provider Demographics
NPI:1134320278
Name:MURPHY, SYLVESTER REED JR (RDO)
Entity Type:Individual
Prefix:
First Name:SYLVESTER
Middle Name:REED
Last Name:MURPHY
Suffix:JR
Gender:M
Credentials:RDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 ARCH ST
Mailing Address - Street 2:VISION CARE 2000
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-1111
Mailing Address - Country:US
Mailing Address - Phone:617-542-2020
Mailing Address - Fax:617-542-2021
Practice Address - Street 1:80 ARCH STREET
Practice Address - Street 2:VISION CARE 2000
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-1111
Practice Address - Country:US
Practice Address - Phone:617-542-2020
Practice Address - Fax:617-542-2021
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA5286156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician