# WEST SUBURBAN EYE SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgisite North
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194275230
- **Authorized official:** DR. EVAN GOLD M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (781) 891-9300

## Contact information

- **Practice address:** 321 BILLERICA RD, CHELMSFORD, MA 01824-4169
- **Practice address phone:** (978) 614-0510
- **Practice address fax:** (781) 891-9305
- **Mailing address:** 321 BILLERICA RD, CHELMSFORD, MA 01824-4169
- **Mailing address phone:** (978) 614-0510
- **Mailing address fax:** (978) 614-0511

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2016
- **Last updated:** 03/09/2017