Provider Demographics
NPI:1356622047
Name:SAVITZ, GLENDA (OD)
Entity type:Individual
Prefix:DR
First Name:GLENDA
Middle Name:
Last Name:SAVITZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BOYLSTON ST
Mailing Address - Street 2:SUITE 3E
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1719
Mailing Address - Country:US
Mailing Address - Phone:617-232-3303
Mailing Address - Fax:617-232-3310
Practice Address - Street 1:1 BOYLSTON ST
Practice Address - Street 2:SUITE 3E
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1719
Practice Address - Country:US
Practice Address - Phone:617-232-3303
Practice Address - Fax:617-232-3310
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4904152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist