Organization
FAMILY EYE CARE CENTER & OPTICAL GALLERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE B BAHAROZIAN M.D. (PRESIDENT)
(978) 692-1400
Entity
Organization
Contact information
Practice address
5 CORNERSTONE SQUARE, SUITE 101, WESTFORD, MA 01886-3198
(978) 692-1400
(978) 692-5995
Mailing address
5 CORNERSTONE SQUARE, SUITE 101, WESTFORD, MA 01886-3198
(978) 692-1400
(978) 692-5995
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150559
HARVARD PILGRIM HEALTH CARE
MA
01
—
23648
FALLON
MA
01
—
740025
TUFTS
MA
05
—
9775137
—
MA
01
—
M16086
BC/BS
MA
Enumeration date
08/25/2011
Last updated
10/22/2012
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