Provider Demographics
NPI:1205844792
Name:SERIO, MARIA FRANCESCA (OD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:FRANCESCA
Last Name:SERIO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:FRANCESCA
Other - Last Name:D'NOFRIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:888 WORCESTER ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-3744
Mailing Address - Country:US
Mailing Address - Phone:617-964-6681
Mailing Address - Fax:339-686-2561
Practice Address - Street 1:888 WORCESTER ST
Practice Address - Street 2:SUITE 130
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-3744
Practice Address - Country:US
Practice Address - Phone:617-964-6681
Practice Address - Fax:888-662-0859
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2701152W00000X
RIODTA00355152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIMS27107Medicaid
MA410038536OtherMEDICARE RAILROAD
RI410038536OtherMEDICARE RAILROAD
MA0370550Medicaid
MAW16116OtherBLUE CROSS BLUE SHIELD
RI29321-3/412383OtherBLUE CROSS BLUE SHIELD
RI29321-3/412383OtherBLUE CROSS BLUE SHIELD
RI007006778Medicare ID - Type Unspecified
MA0370550Medicaid