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Organization
EYE HEALTH SERVICES, INC.
Active
Organization
EYE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J WASSON M.D. (CLERK)
(617) 472-5242
Entity
Organization
Contact information
Practice address
2110 DORCHESTER AVE, STE 100, DORCHESTER CENTER, MA 02124-5628
(617) 298-5300
(617) 296-3028
Mailing address
1900 CROWN COLONY DR, STE 301, QUINCY, MA 02169-0979
(617) 472-5242
(617) 770-2975
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
6130
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9711317
—
MA
Enumeration date
02/12/2009
Last updated
06/21/2013
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