Provider Demographics
NPI:1518122407
Name:POINT ORF VIEW OPTICAL, INC.
Entity Type:Organization
Organization Name:POINT ORF VIEW OPTICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:REGITANO
Authorized Official - Suffix:SR
Authorized Official - Credentials:FNAO
Authorized Official - Phone:978-532-0097
Mailing Address - Street 1:9 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-5401
Mailing Address - Country:US
Mailing Address - Phone:978-532-0097
Mailing Address - Fax:419-791-0097
Practice Address - Street 1:9 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-5401
Practice Address - Country:US
Practice Address - Phone:978-532-0097
Practice Address - Fax:419-791-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4578332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0942090001Medicare NSC