Provider Demographics
NPI:1275659088
Name:STEVEN T. PERRYMAN OD INC.
Entity Type:Organization
Organization Name:STEVEN T. PERRYMAN OD INC.
Other - Org Name:HOPKINTON VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:PERRYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-435-4711
Mailing Address - Street 1:10 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-1222
Mailing Address - Country:US
Mailing Address - Phone:508-435-4711
Mailing Address - Fax:508-435-5053
Practice Address - Street 1:10 CEDAR ST
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-1222
Practice Address - Country:US
Practice Address - Phone:508-435-4711
Practice Address - Fax:508-435-5053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4168152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0313823Medicaid
MAU75690Medicare UPIN
MA0313823Medicaid