Provider Demographics
NPI:1710215850
Name:SACCO CLEGG, CHRISTINE (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:SACCO CLEGG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:SACCO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:450 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1349
Mailing Address - Country:US
Mailing Address - Phone:617-680-8447
Mailing Address - Fax:857-241-3132
Practice Address - Street 1:450 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-1349
Practice Address - Country:US
Practice Address - Phone:617-680-8447
Practice Address - Fax:857-241-3132
Is Sole Proprietor?:No
Enumeration Date:2009-12-01
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3542152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist