Provider Demographics
NPI:1992811509
Name:BAGLIERI, ANNA MARIA (OD)
Entity type:Individual
Prefix:DR
First Name:ANNA MARIA
Middle Name:
Last Name:BAGLIERI
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 1:940 COMMONWEALTH AVE SUITE 2
Mailing Address - Street 2:NEW ENGLAND EYE INSTITUTE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-262-2020
Mailing Address - Fax:617-236-6323
Practice Address - Street 1:930 COMMONWEALTH AVE SUITE 2A
Practice Address - Street 2:NEW ENGLAND EYE INSTITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-262-2020
Practice Address - Fax:617-236-6323
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4542152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA51781OtherHARVARD PILGRIM
37399OtherNEIGHBORHOOD HEALTH PLAN
W16472OtherBLUE CROSS BS
AA51781OtherHARVARD PILGRIM
37399OtherNEIGHBORHOOD HEALTH PLAN
MAV07120Medicare UPIN