Provider Demographics
NPI:1518282193
Name:PERRIELLO, CAROLINE MARY (OD)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:MARY
Last Name:PERRIELLO
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 1:51 MAN MAR DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-2272
Mailing Address - Country:US
Mailing Address - Phone:508-222-9912
Mailing Address - Fax:508-222-9914
Practice Address - Street 1:51 MAN MAR DR
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2272
Practice Address - Country:US
Practice Address - Phone:508-222-9912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3668152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist