Organization
PREMIUM EYE CARE, PC
Active
Other names
Westwood Eyecare and Optical
Organization subpart
No
Provider details
NPI number
Authorized official
CORY LAVALLEE OD (OD, OWNER)
(781) 329-5454
Entity
Organization
Contact information
Practice address
738 HIGH ST, WESTWOOD, MA 02090-2503
(781) 329-5454
(781) 329-7813
Mailing address
738 HIGH ST, WESTWOOD, MA 02090-2503
(781) 329-5454
(781) 329-7813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3168
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024505659
VISION SERVICE PLAN
MA
01
—
15214
HARVARD PILGRIM
MA
01
—
22-00367
UNITED HEALTHCARE
MA
01
—
37955
DAVIS VISION PLAN
MA
01
—
4014765-002
CIGNA HEALTHCARE
MA
01
—
410022567
RAILROAD RETIREMENT FUND
MA
01
—
720677
TUFTS HEALTH PLANS
MA
01
—
93921
AETNA/US HEALTHCARE
MA
05
—
9761934
—
MA
01
—
W20038
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/17/2006
Last updated
06/29/2022
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