Provider Demographics
NPI:1962484931
Name:MURRAY, PAUL D (OD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:D
Last Name:MURRAY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-754-0100
Mailing Address - Fax:617-754-0210
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-754-0100
Practice Address - Fax:617-754-0210
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3001152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2213109OtherHEALTHCARE VALUE MANAGEME
P00227868OtherRAILROAD MEDICARE
042472266OtherPRIVATE HEALTHCARE SYSTEM
7832370OtherAETNA US HEALTHCARE
MA0348082Medicaid
042472266OtherTHREE RIVERS
2213109OtherFIRST HEALTH
9900323OtherFALLON COMMUNITY HEALTH P
0348082OtherMEDICAID WELFARE
157772OtherHARVARD PILGRIM HEALTHCAR
W15595OtherBLUE CARE ELECT
37036OtherCHILDRENS MEDICAL SECURIT
786727OtherMVP HEALTH CARE
9254187OtherCIGNA HEALTH PLAN
37036OtherCHILDRENS MEDICAL SECURIT