Organization
EYE HEALTH SERVICES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J WASSON M.D. (CLERK)
(617) 472-5242
Entity
Organization
Contact information
Practice address
32 RESNIK RD, STE 2, PLYMOUTH, MA 02360-7255
(508) 732-9269
(508) 732-9250
Mailing address
1900 CROWN COLONY DRIVE, STE 301, QUINCY, MA 02169-0931
(617) 472-5242
(617) 770-2975
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
5103
MA
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9711317
—
MA
Enumeration date
12/06/2006
Last updated
06/21/2013
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