Organization
I-CARE FAMILY VISION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QIQI CUI (OWNER)
(617) 780-2871
Entity
Organization
Contact information
Practice address
550 PROVIDENCE HWY, WALPOLE, MA 02081-4231
(508) 668-9090
Mailing address
6 PARTRIDGE HL, SHARON, MA 02067-1531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MA4834
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110088945A
—
MA
01
—
S300202884
MEDICARE PTAN
—
Enumeration date
09/16/2016
Last updated
01/25/2022
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