Provider Demographics
NPI:1053393025
Name:ZOPATTI, DEBORAH ML (OD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ML
Last Name:ZOPATTI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2038
Mailing Address - Country:US
Mailing Address - Phone:508-943-0247
Mailing Address - Fax:508-943-1179
Practice Address - Street 1:344 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-1509
Practice Address - Country:US
Practice Address - Phone:508-943-0247
Practice Address - Fax:508-943-1179
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3953152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
9761877OtherCIGNA HEALTH PLAN
042472266OtherPRIVATE HEALTHCARE SYSTEM
MA0702404Medicaid
787927OtherMVP HEALTH CARE
91997OtherFALLON COMMUNITY HEALTH P
AA25411OtherHARVARD PILGRIM HEALTHCAR
W17051OtherBLUE SHIELD HMO BLUE
5392473OtherAETNA US HEALTHCARE
787927OtherMVP HEALTH CARE
MA0702404Medicaid
W17051Medicare ID - Type UnspecifiedMEDICARE B