Provider Demographics
NPI:1164637591
Name:FRANCIS J APREA OD,PC
Entity Type:Organization
Organization Name:FRANCIS J APREA OD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:APREA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-746-1589
Mailing Address - Street 1:22 CHILTON ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-3804
Mailing Address - Country:US
Mailing Address - Phone:508-746-1589
Mailing Address - Fax:508-746-6000
Practice Address - Street 1:22 CHILTON ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-3804
Practice Address - Country:US
Practice Address - Phone:508-746-1589
Practice Address - Fax:508-746-6000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2416152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9720898OtherMASSACHUSETTS MEDICAID
MAW20155OtherBLUE CROSS / BLUE SHIELD
MA15049OtherHARVARD PILGRIM HEALTH CARE
MA0507050001Medicare NSC
MA137858Medicare PIN