IndividualActive
Diane Matuck
NPI 1376875914 · Optician · Worcester, MA
Provider details
- NPI number
- 1376875914
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5830 (MA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
19 Tacoma St
Worcester, MA 01605-3516
Phone: (508) 852-1805
Approximate (ZIP-level) locationGet directions
Mailing address
19 Tacoma St
Worcester, MA 01605-3516
Registry dates
- Enumerated
- 2010-02-08
- Last updated
- 2010-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.