Organization
NORTH SHORE EYE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MOSER PRENTISS O.D. (OPTOMETRIST)
(978) 774-7033
Entity
Organization
Contact information
Practice address
85 CONSTITUTION LN, SUITE 100C, DANVERS, MA 01923-3694
(978) 774-7033
(978) 774-0341
Mailing address
85 CONSTITUTION LN, SUITE 100C, DANVERS, MA 01923-3694
(978) 774-7033
(978) 774-0341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3725
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035493
NEIGHBORHOOD HEALTH PLAN
MA
05
—
0392316
—
MA
01
—
151089
HARVARD PILGRIM
MA
01
—
2252
FALLON
MA
01
—
755413
TUFTS
MA
01
—
W20356
BLUE CROSS BLUE SHEILD
MA
Enumeration date
04/03/2007
Last updated
02/27/2008
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