Provider Demographics
NPI:1164600011
Name:GERALD E SAVARD, O.D.
Entity Type:Organization
Organization Name:GERALD E SAVARD, O.D.
Other - Org Name:DR. GERALD E SAVARD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:ERNEST
Authorized Official - Last Name:SAVARD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-947-7321
Mailing Address - Street 1:511 W GROVE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIDDLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02346-1458
Mailing Address - Country:US
Mailing Address - Phone:508-947-7321
Mailing Address - Fax:508-947-0086
Practice Address - Street 1:511 W GROVE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-1458
Practice Address - Country:US
Practice Address - Phone:508-947-7321
Practice Address - Fax:508-947-0086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-03
Last Update Date:2008-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2318332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0519010001Medicare NSC