Active NPIOrganization

Wilmington Eye Group, INC.

Optometrist in Wilmington, Massachusetts

NPI Number1003226879
Practice location
229 Main St, Pearle Vision, Wilmington, MA 01887-2302
Fax
—
Last updated
October 23, 2014

Wilmington Eye Group, INC. is a healthcare organization based in Wilmington, MA. Wilmington Eye Group, INC. practices in Wilmington, MA. The NPI Number for Wilmington Eye Group, INC. is 1003226879 and holds a License No. 4635 (MA). The current practice location address for Wilmington Eye Group, INC. is 229 Main St, Pearle Vision, Wilmington, MA 01887-2302 and can be reached out via phone at 978-658-8890.

Provider Profile Details

NPI Number
1003226879
Provider Name
Wilmington Eye Group, INC.
Provider Entity Type
Organization
Address
229 Main St, Pearle Vision, Wilmington, MA 01887-2302
Phone Number
978-658-8890
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Dr. Alex Russakovsky, OD · President · 617-285-4575
Provider Enumeration Date
May 2, 2014
Last Update Date
October 23, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
229 Main St
Pearle Vision
Wilmington, MA 01887-2302
Zip
01887-2302
Phone Number
978-658-8890
Wilmington, MA 01887Get directions →

Provider Business Mailing Address Details

Address
22 Mcgrath Hwy # 4
Pearle Vision
Somerville, MA 02143-4508
City
Somerville
State
MA
Zip
02143-4508
Phone Number
617-623-7522

License Information

License Number
4635
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wilmington Eye Group, INC.?

The NPI number of Wilmington Eye Group, INC. is 1003226879. It was assigned on May 2, 2014 and is currently active in the NPPES registry.

What is the specialty of Wilmington Eye Group, INC.?

Wilmington Eye Group, INC. is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 4635.

Where does Wilmington Eye Group, INC. practice?

The practice location is 229 Main St, Pearle Vision, Wilmington, MA 01887-2302. The office can be reached at 978-658-8890 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003226879 directly on the NPPES registry website.

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