Provider Demographics
NPI:1508914185
Name:STOLARCZUK, MARGARET MARY (OD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:MARY
Last Name:STOLARCZUK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-2227
Mailing Address - Country:US
Mailing Address - Phone:508-339-7600
Mailing Address - Fax:508-339-6393
Practice Address - Street 1:1 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-2227
Practice Address - Country:US
Practice Address - Phone:508-339-7600
Practice Address - Fax:508-339-6393
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8866152W00000X
MA4619152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0718408Medicaid