Organization
NORTH SHORE CATARACT AND LASER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH J CAMEROTA (ADMINISTRATOR)
(781) 331-3820
Entity
Organization
Contact information
Practice address
91 MONTVALE AVE, STONEHAM, MA 02180
(781) 438-5995
(781) 279-1238
Mailing address
91 MONTVALE AVE, STONEHAM, MA 02180
(781) 438-5995
(781) 279-1238
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1857975
—
MA
01
—
221037
MEDICARE PART B
MA
01
—
694202
TUFTS
—
01
—
903499
HPHC
—
01
—
M88024
BCBS
—
Enumeration date
05/01/2006
Last updated
05/16/2023
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