Organization
EYE CARE WEST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL EUGENE BOUCHER RDO (PRESIDENT)
(413) 733-2316
Entity
Organization
Contact information
Practice address
7 WESTFIELD ST, W SPRINGFIELD, MA 01089-2505
(413) 733-2316
(413) 732-4824
Mailing address
7 WESTFIELD ST, W SPRINGFIELD, MA 01089-2505
(413) 733-2316
(413) 732-4824
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
4976
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1536524
—
MA
Enumeration date
03/29/2007
Last updated
05/07/2014
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