Active NPIOrganization

Katelyn Song Eye Care LLC

Optometrist in Jamaica Plain, Massachusetts

NPI Number1508362419
Practice location
753 Centre St, Jamaica Plain, MA 02130-2520
Fax
—
Last updated
April 2, 2018

Katelyn Song Eye Care LLC is a healthcare organization based in Jamaica Plain, MA. Katelyn Song Eye Care LLC practices in Jamaica Plain, MA. The NPI Number for Katelyn Song Eye Care LLC is 1508362419 and holds a License No. 5121 (MA). The current practice location address for Katelyn Song Eye Care LLC is 753 Centre St, Jamaica Plain, MA 02130-2520 and can be reached out via phone at 617-522-3443.

Provider Profile Details

NPI Number
1508362419
Provider Name
Katelyn Song Eye Care LLC
Provider Entity Type
Organization
Address
753 Centre St, Jamaica Plain, MA 02130-2520
Phone Number
617-522-3443
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Dr. Xueling Song · Optometrist · 908-279-4483
Provider Enumeration Date
April 2, 2018
Last Update Date
April 2, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
753 Centre St
Jamaica Plain, MA 02130-2520
Zip
02130-2520
Phone Number
617-522-3443
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
1175 Chestnut St Apt 18
Newton, MA 02464-1341
City
Newton
State
MA
Zip
02464-1341

License Information

License Number
5121
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 Katelyn Song Eye Care LLC?

The NPI number of Katelyn Song Eye Care LLC is 1508362419. It was assigned on April 2, 2018 and is currently active in the NPPES registry.

What is the specialty of Katelyn Song Eye Care LLC?

Katelyn Song Eye Care LLC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5121.

Where does Katelyn Song Eye Care LLC practice?

The practice location is 753 Centre St, Jamaica Plain, MA 02130-2520. The office can be reached at 617-522-3443 (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 1508362419 directly on the NPPES registry website.

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