NPI 1003748104

Thedalisa Ackep

Practitioner Optometrist Leominster, MA

Practice location

Address: 146 7th St, Leominster, MA 01453-3763
Phone: (908) 422-8656

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence NOTAPPLICABLEYET (MA)

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Registry record

NPI: 1003748104
Entity type: Individual
Sex (as registered): X
NPI issued: 2 Jun 2026
Record last updated: 2 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.