Organization
CEDARVILLE EYE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY G CHURCHILL JR. O.D. (PRESIDENT)
(508) 837-3790
Entity
Organization
Contact information
Practice address
2277 STATE RD, SUITE F, PLYMOUTH, MA 02360-7111
(508) 888-6393
(508) 833-3551
Mailing address
2277 STATE RD, SUITE F, PLYMOUTH, MA 02360-7111
(508) 837-3790
(508) 833-3551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3288
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391824
—
MA
01
—
151342
HARVARD PILGRIM
MA
01
—
W20418
BLUE CROSS
MA
Enumeration date
05/17/2007
Last updated
04/07/2020
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