MR. PATRICK JAMES MANDERS


Address: 52 Porter St Apt 1, Somerville, MA 02143-2318
Phone: 8604719498

MR. PATRICK JAMES MANDERS (NPI# 1033726716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033726716
Entity Type Individual
Full Name MR. PATRICK JAMES MANDERS
Practice Address 52 Porter St Apt 1
Somerville
MA 02143-2318
Practice Telephone 8604719498
Mailing Telephone 8604719498
Enumeration Date 2020-09-28
Last Update Date 2020-09-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156F00000X Technician/Technologist Eye and Vision Services Providers

Office Location

Street Address 52 PORTER ST APT 1
City SOMERVILLE
State MA
Zip Code 02143-2318

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Taxonomy Information

Taxonomy Code 156F00000X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist

Taxonomy Definition

A broad category grouping different kinds of technologists and technicians. See individual definitions.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669097689 William Gundersen Technician/Technologist 64 Rowena Rd, Newton Center, MA 02459-2440 2020-06-15
1750346771 Empire Vision Center Inc Technician/Technologist 700 Boston Rd, Billerica, MA 01821-5316 2006-04-20
1215915491 Teresa Marshall-bradbury Technician/Technologist 100 Grove St Ste B-8, Worcester, MA 01605-2627 2006-01-06
1396353256 Emma K Iwan Technician/Technologist 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 2020-07-16
1619436003 Stefani Bonetti Technician/Technologist 109 Oak St Ste 103, Newton, MA 02464-1493 2019-03-15
1821569047 Sarah Thibodeau Technician/Technologist 21 Highland Ave Ste 16, Newburyport, MA 01950-3873 2018-12-16
1255807863 Nerijus Rackauskas Technician/Technologist 800 Washington St, Boston, MA 02111-1552 2018-10-22
1205316965 Samuel Anthony Davis Jr. Technician/Technologist 150 South Huntington Avenue, Jamaica Plain, MA 02130 2018-08-21
1912118423 Robin Seth Odentz Technician/Technologist 1964 Boston Rd, Wilbraham, MA 01095-1055 2007-05-25
1194940965 Alice Mazzaferro Technician/Technologist 299 Carew St, Suite201, Springfield, MA 01104-2301 2007-04-16
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Competitor

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City SOMERVILLE
Zip Code 02143

Improve Information

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Dataset Information

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.

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