Organization
CATARACT & LASER CENTER WEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C MICHAEL DUCA (ADMINISTRATOR)
(413) 737-5500
Entity
Organization
Contact information
Practice address
171 INTERSTATE DR, SUITE #1, WEST SPRINGFIELD, MA 01089-5101
(413) 737-5500
(413) 732-3514
Mailing address
171 INTERSTATE DR, SUITE #1, WEST SPRINGFIELD, MA 01089-5101
(413) 737-5500
(413) 732-3514
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
AJ4C
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1850288
—
MA
01
—
CAM88012
BCBS
MA
Enumeration date
11/20/2006
Last updated
01/05/2016
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