Organization
BOSTON EYE SURGERY & LASER CENTER TRUST
Active
Other names
Boston Eye Surgery & Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE MCDERMOTT (AUTHORIZED OFFICIAL)
(617) 314-2672
Entity
Organization
Contact information
Practice address
195 WEST ST FL 2, WALTHAM, MA 02451-1111
(781) 768-5590
(781) 487-5717
Mailing address
PO BOX 4175, WOBURN, MA 01888-4175
(781) 768-5590
(781) 487-5717
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110031506B
—
MA
Enumeration date
01/29/2007
Last updated
11/06/2025
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