Provider Demographics
NPI:1790900884
Name:JOHN MAGALHAES AND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:JOHN MAGALHAES AND ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MAGALHAES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-717-0425
Mailing Address - Street 1:382 STATE RD
Mailing Address - Street 2:
Mailing Address - City:N DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-4302
Mailing Address - Country:US
Mailing Address - Phone:508-717-0425
Mailing Address - Fax:508-992-3239
Practice Address - Street 1:382 STATE RD
Practice Address - Street 2:
Practice Address - City:N DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-4302
Practice Address - Country:US
Practice Address - Phone:508-717-0425
Practice Address - Fax:508-992-3239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA4043152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty