Codman Eye Care Affiliates -South Shore INC
Optometrist in Randolph, Massachusetts
1679062335- Practice location
- 9 Warren St, Randolph, MA 02368
- Phone
- 781-963-8448
- Fax
- 781-963-5289
- Last updated
- March 11, 2020
Codman Eye Care Affiliates -South Shore INC is a healthcare organization based in Randolph, MA. Codman Eye Care Affiliates -South Shore INC practices in Randolph, MA. The NPI Number for Codman Eye Care Affiliates -South Shore INC is 1679062335. The current practice location address for Codman Eye Care Affiliates -South Shore INC is 9 Warren St, Randolph, MA 02368 and can be reached out via phone at 781-963-8448 and via fax at 781-963-5289.
Provider Profile Details
- NPI Number
- 1679062335
- Provider Name
- Codman Eye Care Affiliates -South Shore INC
- Provider Entity Type
- Organization
- Address
- 9 Warren St, Randolph, MA 02368
- Phone Number
- 781-963-8448
- Fax Number
- 781-963-5289
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Andy Huynh, OD · Managing Optometrist · 781-963-8448
- Other Names
- Codman Eye Care Affiliates South Shore INC (Doing Business As)
- Provider Enumeration Date
- May 8, 2018
- Last Update Date
- March 11, 2020
- Certification Date
- March 11, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 Warren St
Randolph, MA 02368 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368
- Phone Number
- 781-963-8448
- Fax Number
- 781-963-5289
Provider Business Mailing Address Details
- Address
- 637 Washington Street
Administration
Dorchester, MA 02124-3510 - City
- Dorchester
- State
- MA
- Zip
- 02124-3510
- Phone Number
- 617-825-9660
- Fax Number
- 617-288-7898
License Information
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Randolph, MA
View all Optometrists in Randolph →Frequently Asked Questions
What is the NPI number of Codman Eye Care Affiliates -South Shore INC?
The NPI number of Codman Eye Care Affiliates -South Shore INC is 1679062335. It was assigned on May 8, 2018 and is currently active in the NPPES registry.
What is the specialty of Codman Eye Care Affiliates -South Shore INC?
Codman Eye Care Affiliates -South Shore INC is registered under the primary taxonomy Optometrist (code 152W00000X).
Where does Codman Eye Care Affiliates -South Shore INC practice?
The practice location is 9 Warren St, Randolph, MA 02368. The office can be reached at 781-963-8448 (phone) or 781-963-5289 (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 1679062335 directly on the NPPES registry website.