Organization
BOSTON LASER EYE INSTITUTE, PC
Active
Other names
Boston Vision
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN PECK (CREDENTIALING SPECIALIST)
(617) 202-2020
Entity
Organization
Contact information
Practice address
24 WEBSTER PL, BROOKLINE, MA 02445-7937
(617) 202-2020
(617) 734-3264
Mailing address
24 WEBSTER PL, BROOKLINE, MA 02445-7937
(617) 202-2020
(617) 734-3264
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA6694
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093793564
NPI
MA
01
—
1407838295
NPI
MA
Enumeration date
10/26/2006
Last updated
03/08/2024
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