Organization
NEURO-OPHTHALMOLOGY & EYECARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERKAN MUTLUKAN MD PHD (PRESIDENT)
(413) 543-5444
Entity
Organization
Contact information
Practice address
2036A BOSTON RD, WILBRAHAM, MA 01095
(413) 543-4520
Mailing address
2036A BOSTON RD, WILBRAHAM, MA 01095-1102
(413) 543-5444
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
161328
MA
261QM2500X
Medical Specialty Clinic/Center
161328
MA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
161328
MA
Other
Enumeration date
12/28/2015
Last updated
07/04/2019
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