Provider Demographics
NPI:1962494708
Name:GARBER, NORMAN (OD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:GARBER
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 1:1365 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4101
Mailing Address - Country:US
Mailing Address - Phone:781-646-2300
Mailing Address - Fax:781-646-2301
Practice Address - Street 1:1365 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4101
Practice Address - Country:US
Practice Address - Phone:781-646-2300
Practice Address - Fax:781-646-2301
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2130152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
994290OtherNETWORK HEALTH PLAN
0030064OtherNEIGHBORHOOD HEALTH PLAN
MAW15165OtherBLUE CROSS
A14919OtherHARVARD PILGRIM HEALTH CA
36162OtherCHILDRENS MED SEC PLAN
MA0398535Medicaid
523810OtherCIGNA
MA708326OtherTUFTS HEALTH PLAN
36162OtherCHILDRENS MED SEC PLAN
523810OtherCIGNA