Provider Demographics
NPI:1912053711
Name:STUCHINS, ARTHUR M (OD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:M
Last Name:STUCHINS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-1801
Mailing Address - Country:US
Mailing Address - Phone:781-326-3571
Mailing Address - Fax:
Practice Address - Street 1:361 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-1801
Practice Address - Country:US
Practice Address - Phone:781-326-3571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2158152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAT59104Medicare UPIN