Provider Demographics
NPI:1649781683
Name:RABKIN, ANDREW JON (DOCTOR OF OPTOMETRY)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JON
Last Name:RABKIN
Suffix:
Gender:M
Credentials:DOCTOR OF OPTOMETRY
Other - Prefix:
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Mailing Address - Street 1:175 CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2743
Mailing Address - Country:US
Mailing Address - Phone:617-523-7006
Mailing Address - Fax:617-523-5006
Practice Address - Street 1:175 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2743
Practice Address - Country:US
Practice Address - Phone:617-523-7006
Practice Address - Fax:617-523-5006
Is Sole Proprietor?:No
Enumeration Date:2017-10-17
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA5261152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist