Provider Demographics
NPI:1497995989
Name:APPLETON EYE ASSOCIATES P.C.
Entity Type:Organization
Organization Name:APPLETON EYE ASSOCIATES P.C.
Other - Org Name:NORTH READING OPTOMETRIC ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GASIOROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:978-465-8761
Mailing Address - Street 1:133 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864
Mailing Address - Country:US
Mailing Address - Phone:978-664-6211
Mailing Address - Fax:978-664-3251
Practice Address - Street 1:133 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864
Practice Address - Country:US
Practice Address - Phone:978-664-6211
Practice Address - Fax:978-664-3251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA2547152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty