Organization
BOSTON UNIVERSITY EYE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN P. CHRISTIANSEN (CHAIRMAN)
(617) 414-2020
Entity
Organization
Contact information
Practice address
2005 BAY ST STE 206, TAUNTON, MA 02780-1085
(508) 823-7473
(508) 824-3830
Mailing address
2005 BAY ST STE 206, TAUNTON, MA 02780-1085
(508) 823-7473
(508) 824-3830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
N/A
MA
207W00000X
Ophthalmology Physician
Primary
N/A
MA
261QA1903X
Ambulatory Surgical Clinic/Center
N/A
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600685
TUFTS (FACILITY)
MA
01
—
615277
TUFTS (PRACTICE)
MA
01
—
93923
AETNA
MA
05
—
9766162
—
MA
01
—
M15401
BCBS (MD'S)
MA
01
—
M88004
BCBS (FACILITY)
MA
01
—
W20231
BCBS (OPTOMETRY)
MA
Enumeration date
09/27/2005
Last updated
09/25/2018
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