Provider Demographics
NPI:1679731087
Name:SANFORD RINES O.D.
Entity Type:Organization
Organization Name:SANFORD RINES O.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMITRIST
Authorized Official - Prefix:
Authorized Official - First Name:SANFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:RINES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:978-388-6144
Mailing Address - Street 1:34 MERRILL ST
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-4307
Mailing Address - Country:US
Mailing Address - Phone:978-388-6144
Mailing Address - Fax:978-388-6169
Practice Address - Street 1:34 MERRILL ST
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-4307
Practice Address - Country:US
Practice Address - Phone:978-388-6144
Practice Address - Fax:978-388-6169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2489152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0154130001Medicare NSC