Organization
PLANEYE, LLC
Active
Other names
The Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY J KENNIFF (PRACTICE ADMINISTRATOR)
(978) 939-3128
Entity
Organization
Contact information
Practice address
184 MARKET DR, ATHOL, MA 01331-9829
(978) 939-3128
(978) 650-2090
Mailing address
184 MARKET DR, ATHOL, MA 01331-9829
(978) 939-3128
(978) 650-2090
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A23165
—
MA
Enumeration date
12/17/2020
Last updated
02/09/2021
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