Provider Demographics
NPI:1134270770
Name:ESCHER, RAYMOND THEODORE (OD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:THEODORE
Last Name:ESCHER
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 1:3708 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631-1596
Mailing Address - Country:US
Mailing Address - Phone:508-771-2140
Mailing Address - Fax:508-432-2020
Practice Address - Street 1:583 IYANNOUGH RD
Practice Address - Street 2:C/C CAPE OPTICIANS
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-1929
Practice Address - Country:US
Practice Address - Phone:508-771-2205
Practice Address - Fax:508-778-1973
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2283152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0321788Medicaid
MAT59215Medicare UPIN
MAS400158329Medicare PIN
MA152158Medicare ID - Type Unspecified