Provider Demographics
NPI:1497526503
Name:LETENDRE, WHITNEY RUTH (DISPENSING OPTICIAN)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:RUTH
Last Name:LETENDRE
Suffix:
Gender:F
Credentials:DISPENSING OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 CAPE RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3276
Mailing Address - Country:US
Mailing Address - Phone:508-270-5750
Mailing Address - Fax:
Practice Address - Street 1:41 CAPE RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3276
Practice Address - Country:US
Practice Address - Phone:508-270-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6699156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician