Organization
SOUTH SHORE EYE CARE, P.C.
Active
Organization
SOUTH SHORE EYE CARE, P.C.
Active
Other names
Massachusetts Eye Care Associates, P.C
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY LISA MCHAM M.D. (PRESIDENT)
(617) 298-5300
Entity
Organization
Contact information
Practice address
2110 DORCHESTER AVE, SUITE 100, BOSTON, MA 02124-5628
(617) 298-5300
(617) 296-3028
Mailing address
2110 DORCHESTER AVE, SUITE 100, BOSTON, MA 02124-5628
(617) 298-5300
(617) 296-3028
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
077904
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9733655
—
MA
Enumeration date
02/21/2007
Last updated
04/01/2010
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