Organization
BURLINGTON EYE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX RUSSAKOVSKY O.D. (PRESIDENT)
(617) 285-4575
Entity
Organization
Contact information
Practice address
74 BURLINGTON MALL ROAD, BURLINGTON, MA 01803
(781) 272-5620
Mailing address
22 MCGRATH HWY # 4, PEARLE VISION, SOMERVILLE, MA 02143-4508
(617) 623-7522
(617) 623-1326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4635
MA
Other
Enumeration date
05/04/2015
Last updated
08/06/2015
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