Organization
INDEPENDENCE EYE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W KIELTY OD, MD (PRESIDENT)
(508) 985-6600
Entity
Organization
Contact information
Practice address
289 PLEASANT ST, FALL RIVER, MA 02721-3005
(508) 985-6600
Mailing address
365 FAUNCE CORNER RD, DARTMOUTH, MA 02747-6230
(508) 985-6600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110140806A
—
MA
Enumeration date
06/26/2020
Last updated
11/27/2023
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