Organization
CAMBRIDGE EYE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKY KONG (PRESIDENT)
(617) 818-0476
Entity
Organization
Contact information
Practice address
603 CONCORD AVE, SUITE B, CAMBRIDGE, MA 02138-1197
(617) 818-0476
Mailing address
169 MONSIGNOR OBRIEN HWY, 415, CAMBRIDGE, MA 02141-1289
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4689
MA
152WC0802X
Corneal and Contact Management Optometrist
4687
MA
152WP0200X
Pediatric Optometrist
4689
MA
152WS0006X
Sports Vision Optometrist
4689
MA
152WV0400X
Vision Therapy Optometrist
4689
MA
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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