MRS. BRENDA L TIBBETTS (NPI# 1528361805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528361805 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA L TIBBETTS |
| Other Name | BRENDA L DIMITROPOLIS/BRESSEM |
| Practice Address |
170 Main St Ste E Monson MA 01057-1353 |
| Practice Telephone | 4132674200 |
| Practice Fax Number | 4132674200 |
| Mailing Telephone | 4132674200 |
| Mailing Fax Number | 4132674200 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
5499 | MA | Eye and Vision Services Providers |
| Street Address |
170 MAIN ST STE E |
| City | MONSON |
| State | MA |
| Zip Code | 01057-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669910683 | Nissa Lempart | Technician/Technologist | 170 Main St Ste E, Monson, MA 01057-1353 | 2017-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811444953 | Samantha Rose Lloyd | Counselor | 18 Palmer Rd, Monson, MA 01057 | 2016-09-07 |
| 1205049335 | Richard M Smith | Chiropractor | 59 Main St, Monson, MA 01057 | 2007-05-07 |
| 1790801165 | Town of Monson | Local Education Agency (LEA) | 29 Thompson St, Monson, MA 01057-1014 | 2007-03-21 |
| 1982031266 | Brian Douglas Conners | Counselor | 6 Gates St, Monson, MA 01057-1115 | 2013-10-02 |
| 1598171373 | Deborah Avery | Hearing Instrument Specialist | 8 Heritage Ln, Monson, MA 01057-1157 | 2014-07-01 |
| 1619394269 | Stacy Politis | Physical Therapy Assistant | 3 Main St, Monson, MA 01057-1301 | 2014-03-20 |
| 1568981504 | Connie Leung | Nurse Practitioner | 2 Main Street, Monson, MA 01057-1302 | 2017-09-11 |
| 1346464468 | Pamela M Paton | Nurse Practitioner | 2 Main St, Monson, MA 01057-1302 | 2007-04-12 |
| 1235226655 | John Ramey Diggs | Internal Medicine | 2 Main Street, Monson, MA 01057-1302 | 2006-10-06 |
| 1487666194 | Joanna M. Preibisz | Internal Medicine | 2 Main St, Monson, MA 01057-1302 | 2006-08-12 |
| Find all providers in zip 01057 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669910683 | Nissa Lempart | Technician/Technologist | 170 Main St Ste E, Monson, MA 01057-1353 | 2017-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473560 | Irma Montanez | Technician/Technologist | 71 Lyndale St, Springfield, MA 01108-2410 | 2020-10-05 |
| 1609491331 | David Miller | Technician/Technologist | 10 Merrimack St, Lowell, MA 01852-1722 | 2020-06-09 |
| 1538718796 | Lauren Downey | Technician/Technologist | 40 Industrial Park Rd # 202, Plymouth, MA 02360-4884 | 2019-09-10 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689161846 | Andrew Metz | Technician/Technologist | 188 Park Ave, Worcester, MA 01609-2240 | 2018-04-13 |
| 1144720301 | See South End Inc | Technician/Technologist | 681 Tremont St Unit 1, Boston, MA 02118-1281 | 2018-02-14 |
| 1528570702 | Michael Josef Leduc | Technician/Technologist | 73 Home St Apt 1, Fall River, MA 02720-5315 | 2017-10-28 |
| 1235649955 | Nickolas Linna | Technician/Technologist | 120 East St, Ludlow, MA 01056-3409 | 2017-10-08 |
| 1750819991 | Eye Center Optical, Inc. | Technician/Technologist | 13 Walnut Street, Winchendon, MA 01475 | 2017-06-01 |
| Find all providers with the same taxonomy | ||||
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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.