Provider Demographics
NPI:1477602910
Name:ERIC A. STAFFIER, OD, PC
Entity type:Organization
Organization Name:ERIC A. STAFFIER, OD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:STAFFIER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-824-3208
Mailing Address - Street 1:2 GALLERIA MALL DR
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-6913
Mailing Address - Country:US
Mailing Address - Phone:508-824-3208
Mailing Address - Fax:
Practice Address - Street 1:2 GALLERIA MALL DR
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-6913
Practice Address - Country:US
Practice Address - Phone:508-824-3208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4332152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3877807OtherAETNA HMO ID
MA7046675OtherAETNA PPO ID
MAW16330OtherBCBS OF MA PROVIDER ID
MA1483638OtherCIGNA ID
MAMA4332OtherEYEMED ID
MAW20381OtherBCBS OF MA GROUP ID
RI410201OtherBLUE CHIP OF RI ID
RI29127-3OtherBCBS OF RI ID
MA3877807OtherAETNA HMO ID
MAMA4332OtherEYEMED ID
MAW21076Medicare ID - Type UnspecifiedGROUP ID