STEPHEN J POOR III MDPC (NPI# 1457306540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457306540 |
| Entity Type | Organization |
| Organization Name | STEPHEN J POOR III MDPC |
| Practice Address |
17 Village Sq Chelmsford MA 01824-2712 |
| Mailing Address |
1 Edward St Canton MA 02021-2303 |
| Practice Telephone | 9782508001 |
| Practice Fax Number | 9782504142 |
| Mailing Telephone | 7818283533 |
| Mailing Fax Number | 7818282471 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEPHEN JOSEPH POOR III (PRESIDENT) |
| Authorized Official Telephone | 9782508001 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 31356 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS & BLUE SHIELD | M13035 | 01 |
| MA | 9724583 | 05 |
| Street Address |
17 VILLAGE SQ |
| City | CHELMSFORD |
| State | MA |
| Zip Code | 01824-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144209685 | Stephen Joseph Poor IIi | Ophthalmology | 17 Village Sq, Chelmsford, MA 01824-2712 | 2006-01-12 |
| 1619427705 | Village Eye Associates,llc | Optometrist | 17 Village Sq, Chelmsford, MA 01824-2712 | 2016-10-12 |
| 1679893093 | Village Eye Associates,llc | Optometrist | 17 Village Sq, Chelmsford, MA 01824-2712 | 2010-06-08 |
| 1629251046 | Massachusetts Opticians Inc. | Durable Medical Equipment & Medical Supplies | 17 Village Sq, Chelmsford, MA 01824-2712 | 2007-12-07 |
| 1376654954 | Stanley David Bukowiec | Technician/Technologist | 17 Village Sq, Chelmsford, MA 01824-2712 | 2006-08-31 |
| 1427080191 | Florence Bejian Bahtiarian | Optometrist | 17 Village Sq, Chelmsford, MA 01824-2712 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701776 | Nepsc-lowell LLC | Surgery | 33 Village Square, Chelmsford, MA 01824 | 2019-10-09 |
| 1447805015 | Owl Pediatric Therapy LLC | Speech-Language Pathologist | 360 Littleton Road, #g6, Chelmsford, MA 01824 | 2019-08-09 |
| 1083277420 | Praisey Joseph | Nurse Practitioner | Massachusetts Ent Associates, Inc, 3 Meeting House Rd Suite 24, Chelmsford, MA 01824 | 2019-04-22 |
| 1013434513 | Sherry Ranjbar | Counselor | 13 Horseshoe Rd, Chelmsford, MA 01824 | 2017-08-24 |
| 1942666250 | Alyssa Paton | Nurse Practitioner | 4 Meeting House Rd Ste 1, Chelmsford, MA 01824 | 2016-01-04 |
| 1144696675 | Serene Williams-kasili | Nurse Practitioner | 35 Village Square, Chelmsford, MA 01824 | 2015-08-19 |
| 1437536901 | Chelmsford Family Dentists PC | Dentist | 18 Boston Road, Suite 400, Chelmford, MA 01824 | 2015-05-04 |
| 1508284084 | Caitlin Polistena | Surgery | 21 Village Sqaure, Chelmsford, MA 01824 | 2014-04-02 |
| 1932442662 | Scott Finlay | Otolaryngology | 3 Meeting House Rd Ste 23and24, Chelmsford, MA 01824 | 2013-04-01 |
| 1700127925 | Safetynet Community Dental Health Center | Clinic/Center | 3 Courhouse Lane, Chelmsford, MA 01824 | 2013-03-13 |
| Find all providers in zip 01824 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588611982 | Murat Veysel Kalayoglu | Ophthalmology | 18 Village Square, Massachusetts Eye Associates, P.c, Chelmsford, MA 01824 | 2006-05-30 |
| 1144209685 | Stephen Joseph Poor IIi | Ophthalmology | 17 Village Sq, Chelmsford, MA 01824-2712 | 2006-01-12 |
| 1780098640 | Lgh-pho Dba Massachusetts Eye Associates, PC | Ophthalmology | 19 Village Sq, Chelmsford, MA 01824-2712 | 2014-06-18 |
| 1265676928 | Cecily Elaine Hamill | Ophthalmology | 19 Village Sq, Chelmsford, MA 01824 | 2009-04-25 |
| 1285808642 | James Kim | Ophthalmology | 19 Village Square, Chelmsford, MA 01824-2712 | 2008-04-16 |
| 1679751358 | Brent Ronald Mittelstaedt | Ophthalmology | 19 Village Sq, Chelmsford, MA 01824 | 2008-02-05 |
| 1568455897 | Glen Alan Bolliger | Ophthalmology | 19 Village Sq, Chelmsford, MA 01824-2712 | 2005-08-23 |
| 1225020316 | David Mears Tracy | Ophthalmology | 19 Village Sq, Chelmsford, MA 01824-2712 | 2005-08-16 |
| 1003808197 | David Hyungjun Yi | Ophthalmology | 19 Village Sq, Chelmsford, MA 01824-2712 | 2005-08-16 |
| 1154313245 | David George Perkins | Ophthalmology | 19 Village Sq, Chelmsford, MA 01824-2712 | 2005-08-16 |
| Find all providers in CHELMSFORD | ||||
| City | CHELMSFORD |
| Zip Code | 01824 |
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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.