Provider Demographics
NPI:1972889657
Name:SPATCHER, MOLLY (OD)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:SPATCHER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:FELLOWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:180 DAGGETT DR
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4667
Mailing Address - Country:US
Mailing Address - Phone:413-452-4111
Mailing Address - Fax:
Practice Address - Street 1:33 RIDDELL ST
Practice Address - Street 2:EYE & LASIK CENTER
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2025
Practice Address - Country:US
Practice Address - Phone:413-774-7016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5092152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist