Organization
BOSTON UNIVERSITY EYE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P CHRISTIANSEN M.D., MPH (CHAIRMAN)
(508) 823-7473
Entity
Organization
Contact information
Practice address
850 HARRISON AVE # ACC-3, BOSTON, MA 02118-4001
(617) 414-4020
(617) 414-4028
Mailing address
850 HARRISON AVE # ACC-3, BOSTON, MA 02118-4001
(617) 414-4020
(617) 414-4028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9766162
—
MA
01
—
M15524
BCBS
MA
Enumeration date
05/01/2006
Last updated
10/23/2018
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