Active NPIOrganization

Medford Eyecare LLC

Point of Service in Medford, Massachusetts

NPI Number1487006599
Practice location
21 High St, Medford, MA 02155-3807
Fax
—
Last updated
July 13, 2016

Medford Eyecare LLC is a healthcare organization based in Medford, MA. Medford Eyecare LLC practices in Medford, MA. The NPI Number for Medford Eyecare LLC is 1487006599 and holds a License No. 5138 (MA). The current practice location address for Medford Eyecare LLC is 21 High St, Medford, MA 02155-3807 and can be reached out via phone at 781-393-5700.

Provider Profile Details

NPI Number
1487006599
Provider Name
Medford Eyecare LLC
Provider Entity Type
Organization
Address
21 High St, Medford, MA 02155-3807
Phone Number
781-393-5700
Primary Taxonomy
Point of Service · 305S00000X
Organization Subpart
No
Authorized Official
Dr. Boris Drizik, OD · Optometrist · 871-393-5700
Provider Enumeration Date
July 13, 2016
Last Update Date
July 13, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 High St
Medford, MA 02155-3807
Zip
02155-3807
Phone Number
781-393-5700
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
21 High St
Medford, MA 02155-3807
City
Medford
State
MA
Zip
02155-3807

License Information

License Number
5138
License State
MA
Taxonomy
Point of Service · 305S00000X · 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 Medford Eyecare LLC?

The NPI number of Medford Eyecare LLC is 1487006599. It was assigned on July 13, 2016 and is currently active in the NPPES registry.

What is the specialty of Medford Eyecare LLC?

Medford Eyecare LLC is registered under the primary taxonomy Point of Service (code 305S00000X), licensed in MA under license number 5138.

Where does Medford Eyecare LLC practice?

The practice location is 21 High St, Medford, MA 02155-3807. The office can be reached at 781-393-5700 (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 1487006599 directly on the NPPES registry website.

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