Provider Demographics
NPI:1679595730
Name:GINSBERG, STEWART J (OD)
Entity Type:Individual
Prefix:DR
First Name:STEWART
Middle Name:J
Last Name:GINSBERG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 DRISCOLL DRIVE
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NATICK EYE ASSOCIATES,PC
Practice Address - Street 2:1364 WORCESTER ROAD
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1514
Practice Address - Country:US
Practice Address - Phone:508-655-8127
Practice Address - Fax:508-652-0819
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA3425152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0005897485OtherAETNA
MA150384OtherHARVARD PILGRIM
MA220316OtherUNITED HEALTHCARE
MA9148944OtherCIGNA
MAW16109OtherBLUECROSS BLUESHIELD
MAW16109OtherBLUECROSS BLUESHIELD
MAT91886Medicare UPIN