Organization
EYE HEALTH SERVICES, INC
Active
Other names
Eye Health Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL J WASSON MD (CLERK)
(781) 331-3300
Entity
Organization
Contact information
Practice address
146 CHURCH ST, PEMBROKE, MA 02359-1950
(781) 826-2308
(781) 826-6759
Mailing address
1900 CROWN COLONY DRIVE, SUITE 301, QUINCY, MA 02169-0000
(617) 770-4400
(617) 471-5093
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
449459
AETNA
MA
01
—
600020
TUFTS HEALTH PLAN
MA
05
—
9711317
—
MA
Enumeration date
08/10/2006
Last updated
10/26/2018
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