Provider Demographics
NPI:1962758193
Name:BABINSKI, KATARZYNA (OD)
Entity type:Individual
Prefix:DR
First Name:KATARZYNA
Middle Name:
Last Name:BABINSKI
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 1:200 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-2772
Mailing Address - Country:US
Mailing Address - Phone:413-583-3600
Mailing Address - Fax:413-589-0783
Practice Address - Street 1:275 BICENTENNIAL HWY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-1900
Practice Address - Country:US
Practice Address - Phone:413-783-3100
Practice Address - Fax:413-782-7998
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4922152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA55946OtherHEALTH NEW ENGLAND
MA110093721AMedicaid
MA122569OtherBMC HEALTHNET
MA93253302OtherNETWORK HEALTH
MA049022OtherCONNECTICARE
MA93253301OtherNETWORK HEALTH
MA122569OtherBMC HEALTHNET
MA002918201Medicare PIN