Cora Mia Vitale, OD is a
Student In An Organized Health Care Education/training Program based in Brockton, Massachusetts. Cora Mia Vitale is licensed to practice in * (Not Available) (license number ) and her current practice location is
940 Belmont St, Brockton, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 583-4500.
NPI number for Cora Mia Vitale is 1700635828 and her current mailing address is 220 Middlesex Ave, Medford, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700635828.
Healthcare Provider's Profile
Full Name | Cora Mia Vitale |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 940 Belmont St, Brockton, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700635828
- Provider Enumeration Date: 05/13/2024
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Cora Mia Vitale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700635828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OPT5727 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cora Mia Vitale is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cora Mia Vitale, OD 220 Middlesex Ave, Medford, MA 02155-5000 Ph: (978) 809-7675 | Cora Mia Vitale, OD 940 Belmont St, Brockton, MA 02301-5596 Ph: (508) 583-4500 |
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