Organization
INDEPENDENT EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN IANNITTO OD (OWNER)
(978) 774-4500
Entity
Organization
Contact information
Practice address
180 ENDICOTT ST, DANVERS, MA 01923-3683
(508) 880-0793
Mailing address
180 ENDICOTT ST, DANVERS, MA 01923-3683
(508) 880-0793
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W21037
BCBS
MA
Enumeration date
01/18/2007
Last updated
01/30/2017
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