JOSEPH DAMON JR. (NPI# 1457759987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457759987 |
Entity Type | Individual |
Full Name | JOSEPH DAMON JR. |
Credential | LICENSED OPTICIAN |
Practice Address |
26 Queen St Optical Shop Worcester MA 01610-2473 |
Practice Telephone | 5088607700 |
Practice Fax Number | 5088607876 |
Mailing Telephone | 5088607700 |
Mailing Fax Number | 5088607876 |
Enumeration Date | 2014-12-16 |
Last Update Date | 2014-12-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
6001 | MA | Eye and Vision Services Providers |
Street Address |
26 QUEEN ST OPTICAL SHOP |
City | WORCESTER |
State | MA |
Zip Code | 01610-2473 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669460051 | Philip Joseph Bolduc | Family Medicine | 26 Queen St, Family Practice 3, Worcester, MA 01610-2473 | 2005-10-10 |
1013517341 | Erich Berantuo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2020-10-27 |
1366070419 | Stephany Giraldo Eierle | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-04-01 |
1225666969 | Henry J Louis | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-30 |
1497383467 | Katherine Elizabeth Price | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-27 |
1295377802 | Esther N Miwanda | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-15 |
1598306417 | David James Goodrich II | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-02 |
1972151496 | Kathryn Jean Devinney | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2019-08-28 |
1104478288 | David Dinh | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2478 | 2019-07-10 |
1831741917 | Lisa Figueiredo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
Find all providers in zip 01610 |
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 |
1376875914 | Diane Matuck | Technician/Technologist | 19 Tacoma St, Worcester, MA 01605-3516 | 2010-02-08 |
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.