Individual provider · NPI-1

Dr. John Cammisa III, O.D.

Optometrist · Springfield, MA

NPI number1669592127
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1669592127
Entity type
Individual (NPI-1)
Name
Dr. John Cammisa III
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 29, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist3583MAYes

Practice location

1624 Main St
Springfield, MA 01103-1224

Phone 413-737-3937

Mailing address

56 Granville Rd
Southwick, MA 01077-9213

Phone 413-569-5547

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