DIANE MATUCK (NPI# 1376875914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376875914 |
| Entity Type | Individual |
| Full Name | DIANE MATUCK |
| Practice Address |
19 Tacoma St Worcester MA 01605-3516 |
| Practice Telephone | 5088521805 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
5830 | MA | Eye and Vision Services Providers |
| Street Address |
19 TACOMA ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114902038 | Gina E. D'ottavio | Family Medicine | 19 Tacoma St, Worcester, MA 01605-3516 | 2005-12-14 |
| 1952909319 | Michelle Elicier | Licensed Practical Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-10-16 |
| 1396342275 | Christine Anne Tuohy | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-10-05 |
| 1437756335 | Madeline Fennon Lane | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-10-04 |
| 1962016584 | Julie Fraher | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-09-01 |
| 1598377699 | Victor O Boadu | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-08-19 |
| 1053922963 | Shanoska Vasquez Garcia | Counselor | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-08-13 |
| 1588289300 | Jeffrey P Chhim | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-06-09 |
| 1629692470 | Diana Portillo | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-06-07 |
| 1467076810 | Stacie Robbins | Pharmacist | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689161846 | Andrew Metz | Technician/Technologist | 188 Park Ave, Worcester, MA 01609-2240 | 2018-04-13 |
| 1396153706 | Michael Plante | Technician/Technologist | 1099 Pleasant St, Worcester, MA 01602-1267 | 2014-07-29 |
| 1770830184 | Gerald Patrick Hastings Jr. | Technician/Technologist | 10 Lincoln Square, Worcester, MA 01608 | 2012-08-06 |
| 1619285780 | In Style Optical | Technician/Technologist | 666 Lincoln St, Worcester, MA 01605-2011 | 2010-09-22 |
| 1033396791 | Joseph R. Erickson | Technician/Technologist | 12 Palace Gardens Rd, Worcester, MA 01607-1725 | 2008-01-24 |
| 1912527821 | Sandra Jean Coyne | Technician/Technologist | 631 Lincoln St, Worcester, MA 01605-2010 | 2020-04-21 |
| 1033562574 | D&m Optical & Hearing Aid Corp | Technician/Technologist | 38 Southbridge St, Worcester, MA 01608-2019 | 2016-07-20 |
| 1326433129 | James M Johnston | Technician/Technologist | 31 Lincoln St, Worcester, MA 01605-2633 | 2015-03-30 |
| 1457759987 | Joseph Damon Jr. | Technician/Technologist | 26 Queen St, Optical Shop, Worcester, MA 01610-2473 | 2014-12-16 |
| 1720237001 | Occhiali Eyewear Boutique | Technician/Technologist | 316 Main St, Worcester, MA 01608-1553 | 2008-09-11 |
| Find all providers in WORCESTER | ||||
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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.