Organization
BURLINGTON VISION ASSOCIATES, INC.
Active
Other names
Georgetown Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. TRAVEIS O.D. (DR.)
(978) 352-5966
Entity
Organization
Contact information
Practice address
1 E MAIN ST, GEORGETOWN, MA 01833-2037
(978) 352-5966
Mailing address
1 E MAIN ST, GEORGETOWN, MA 01833-2037
(978) 352-5966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MA3790
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021531
NH
MA
05
—
0369748
—
MA
01
—
152293
HPHC
—
01
—
1784321
UNITEDHEALTH
—
01
—
4345730001
DMC
—
01
—
66285
FALLON
—
01
—
760854
TUFTS
—
01
—
MA3790
MA
MA
01
—
W17006
BCBS
—
01
—
W20254
BCBS
—
Enumeration date
04/16/2007
Last updated
07/01/2008
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