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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) 770-4400
Entity
Organization
Contact information
Practice address
1900 CROWN COLONY DRIVE, STE 301, QUINCY, MA 02169-0931
(617) 770-4400
(617) 471-5093
Mailing address
1900 CROWN COLONY DRIVE, STE 301, QUINCY, MA 02169-0931
(617) 770-4400
(617) 471-5093
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
4730
MA
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9711317
—
MA
Enumeration date
12/13/2006
Last updated
07/09/2013
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