SERGEY ZOTOV (NPI# 1013348614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013348614 |
Entity Type | Individual |
Full Name | SERGEY ZOTOV |
Practice Address |
485 Arsenal St Watertown MA 02472-5091 |
Practice Telephone | 6179232022 |
Mailing Telephone | 6179232022 |
Enumeration Date | 2013-12-06 |
Last Update Date | 2013-12-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
5980 | MA | Eye and Vision Services Providers |
Street Address |
485 ARSENAL ST |
City | WATERTOWN |
State | MA |
Zip Code | 02472-5091 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710980230 | Jahansouz Shokri | Internal Medicine | 485 Arsenal St, Internal Medicine, Watertown, MA 02472-5091 | 2005-05-30 |
1497352785 | Kelli Sims | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2020-10-08 |
1912464793 | Carolyn Comeau | Nurse Practitioner | 485 Arsenal St, Watertown, MA 02472-5091 | 2019-02-27 |
1699231167 | Jenna D Picton | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2019-02-20 |
1790265098 | Stefanos Daniel Torkos | Pharmacist | 485 Arsenal St, Watertown, MA 02472 | 2018-08-16 |
1255848123 | Patrick Mccarthy | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2018-01-02 |
1144747197 | Kevin Andrew Deleonardo | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2017-08-29 |
1659825016 | Semie Durrani | Pharmacist | 485 Arsenal St, Pharmacy Admin Dept., Watertown, MA 02472-5091 | 2016-08-15 |
1467809384 | Marie Wenzel | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2016-05-20 |
1336596717 | Katherine Loomer | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2016-05-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
Find all providers in zip 02472 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437415148 | Carla J Mcgregor | Technician/Technologist | 916 9th Ave Se, Watertown, SD 57201-5224 | 2012-04-06 |
1982735098 | Watertown Hearing Aid Center Inc | Technician/Technologist | 20053 Summit View Blvd, Ste 3, Watertown, NY 13601-3619 | 2007-03-08 |
1619040771 | Pak Optical of Watertown Inc | Technician/Technologist | 111 Court St, Watertown, NY 13601-2534 | 2006-11-16 |
1093829996 | Wal-mart Stores East, Lp | Technician/Technologist | 20823 State Route 3, Watertown, NY 13601-5577 | 2006-08-18 |
1982111803 | Breanna Lynn Burgenstock | Technician/Technologist | 20823 Nys Rt 3, Watertown, NY 13601-5577 | 2017-12-30 |
1174983068 | Rachel Gleason | Technician/Technologist | 1815 State St, Watertown, NY 13601-9407 | 2016-03-04 |
1205296191 | Tara Swan | Technician/Technologist | 1815 State St, Watertown, NY 13601-9407 | 2016-03-04 |
1689916272 | Mark Patrick Sharrow | Technician/Technologist | 1815 State St, Watertown, NY 13601-9407 | 2013-03-21 |
1528367067 | Geana Maria Converse | Technician/Technologist | 608 Pearl St, Watertown, NY 13601-2158 | 2011-03-23 |
1952635443 | Creative Optical, LLC | Technician/Technologist | 826 Washington St, Suite 100, Watertown, NY 13601-4063 | 2009-09-30 |
Find all providers in WATERTOWN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.