Provider Demographics
NPI:1013967389
Name:BABABEKOV, ARTHUR (OD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:BABABEKOV
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:PO BOX J
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-0309
Mailing Address - Country:US
Mailing Address - Phone:508-823-9307
Mailing Address - Fax:508-484-2008
Practice Address - Street 1:66 SEYON STREET
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453
Practice Address - Country:US
Practice Address - Phone:781-891-0136
Practice Address - Fax:508-484-2008
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4436152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7950681OtherAETNA
MA0035583OtherNEIGHBORHOOD HEALTH PLAN
MA22-01647OtherUNITED HEALTHCARE
MA1814821OtherCIGNA
MAW16455OtherBC/BS
MA7950681OtherAETNA
MAW16455OtherBC/BS