Provider Demographics
NPI:1124251657
Name:POSNER, REBECCA TAYLOR (OD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:TAYLOR
Last Name:POSNER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 FRONT ST UNIT 81
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-1315
Mailing Address - Country:US
Mailing Address - Phone:781-545-0792
Mailing Address - Fax:781-545-4323
Practice Address - Street 1:85 FRONT ST UNIT 81
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-1315
Practice Address - Country:US
Practice Address - Phone:781-545-0792
Practice Address - Fax:781-545-4323
Is Sole Proprietor?:No
Enumeration Date:2009-09-01
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002200152W00000X
NJ27OA00621400152W00000X
MA5454152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist