Active NPIOrganization

Eminent Eye Care LLC

Optometrist in Medford, Massachusetts

NPI Number1467731109
Practice location
278 Middlesex Ave, Medford, MA 02155-5066
Fax
781-396-3353
Last updated
August 12, 2011

Eminent Eye Care LLC is a healthcare organization based in Medford, MA. Eminent Eye Care LLC practices in Medford, MA. The NPI Number for Eminent Eye Care LLC is 1467731109 and holds a License No. 4872 (MA). The current practice location address for Eminent Eye Care LLC is 278 Middlesex Ave, Medford, MA 02155-5066 and can be reached out via phone at 781-396-2322 and via fax at 781-396-3353.

Provider Profile Details

NPI Number
1467731109
Provider Name
Eminent Eye Care LLC
Provider Entity Type
Organization
Address
278 Middlesex Ave, Medford, MA 02155-5066
Phone Number
781-396-2322
Fax Number
781-396-3353
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Yan Lu, OD · Manager · 617-894-6503
Provider Enumeration Date
August 12, 2011
Last Update Date
August 12, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
278 Middlesex Ave
Medford, MA 02155-5066
Zip
02155-5066
Phone Number
781-396-2322
Fax Number
781-396-3353
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
278 Middlesex Ave
Medford, MA 02155-5066
City
Medford
State
MA
Zip
02155-5066
Phone Number
781-396-2322
Fax Number
781-396-3353

License Information

License Number
4872
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 Eminent Eye Care LLC?

The NPI number of Eminent Eye Care LLC is 1467731109. It was assigned on August 12, 2011 and is currently active in the NPPES registry.

What is the specialty of Eminent Eye Care LLC?

Eminent Eye Care LLC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 4872.

Where does Eminent Eye Care LLC practice?

The practice location is 278 Middlesex Ave, Medford, MA 02155-5066. The office can be reached at 781-396-2322 (phone) or 781-396-3353 (fax).

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 1467731109 directly on the NPPES registry website.

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