Organization
LEXINGTON EYE ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER P MULLON M. D. (PRESIDENT)
(781) 862-1620
Entity
Organization
Contact information
Practice address
21 WORTHEN RD, LEXINGTON, MA 02421-4835
(781) 862-1620
(781) 863-9416
Mailing address
21 WORTHEN RD, LEXINGTON, MA 02421-4835
(781) 862-1620
(781) 863-9416
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9702172
—
MA
01
—
M10726
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/11/2007
Last updated
04/03/2012
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