Organization
FOREFRONT EYECARE PLLC
Active
Other names
Korb and Associates PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GULLA (ADMINISTRATOR)
(617) 426-0370
Entity
Organization
Contact information
Practice address
99 BEDFORD STREET, SUITE 102, BOSTON, MA 02111
(617) 426-0370
(617) 426-4924
Mailing address
400 COMMONWEALTH AVENUE, SUITE 2, BOSTON, MA 02215
(617) 426-0370
(617) 426-4924
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2019
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0308714
—
MA
01
—
W20149
BLUE CROSS AND BLUE SHIELD MA
MA
Enumeration date
09/30/2008
Last updated
12/12/2024
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