# BOSTON EYE SURGERY & LASER CENTER TRUST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boston Eye Surgery & Laser Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124116264
- **Authorized official:** SUZANNE MCDERMOTT (ADMINISTRATOR)
- **Authorized official phone:** (617) 314-2672

## Contact information

- **Practice address:** 50 STANIFORD ST, LOBBY LEVEL, BOSTON, MA 02114-2517
- **Practice address phone:** (617) 723-2015
- **Practice address fax:** (617) 723-7787
- **Mailing address:** PO BOX 4175, WOBURN, MA 01888-4175
- **Mailing address phone:** (617) 723-2015
- **Mailing address fax:** (617) 723-7787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 11/06/2025