Provider Demographics
NPI:1205450129
Name:CONSTANT, YVES (DO)
Entity type:Individual
Prefix:MR
First Name:YVES
Middle Name:
Last Name:CONSTANT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01109-2632
Mailing Address - Country:US
Mailing Address - Phone:413-297-1991
Mailing Address - Fax:
Practice Address - Street 1:15 COLLEGE HWY STE B
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01073-9274
Practice Address - Country:US
Practice Address - Phone:413-297-1991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5948156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician