# 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:** 1639215502
- **Authorized official:** SUZANNE MCDERMOTT (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (617) 314-2672

## Contact information

- **Practice address:** 195 WEST ST FL 2, WALTHAM, MA 02451-1111
- **Practice address phone:** (781) 768-5590
- **Practice address fax:** (781) 487-5717
- **Mailing address:** PO BOX 4175, WOBURN, MA 01888-4175
- **Mailing address phone:** (781) 768-5590
- **Mailing address fax:** (781) 487-5717

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 11/06/2025