Organization
EYE HEALTH VISION CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN F SULLIVAN MD (OWNER)
(508) 994-1400
Entity
Organization
Contact information
Practice address
64 WINTHROP ST, TAUNTON, MA 02780-4242
(508) 823-5536
(508) 880-3798
Mailing address
51 STATE RD, NORTH DARTMOUTH, MA 02747-3319
(508) 994-1400
(508) 910-2212
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
MA
332H00000X
Eyewear Supplier
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9781315
—
MA
Enumeration date
09/11/2006
Last updated
07/21/2010
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