Organization
BOSTON UNIVERSITY EYE ASSOCIATES, INC.
Active
Other names
Boston University Eye Associates Surgery & Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN P CHRISTIANSEN M.D., M.P.H. (CHAIRMAN)
(508) 823-7473
Entity
Organization
Contact information
Practice address
90 NEW STATE HWY, RAYNHAM, MA 02767-1433
(508) 823-7473
(508) 880-3616
Mailing address
90 NEW STATE HWY, RAYNHAM, MA 02767-1433
(508) 823-7473
(508) 880-3616
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0528749
AETNA
MA
01
—
411515
BCBS (BLUECHIP)
RI
01
—
615277
TUFTS HEALTH PLAN
MA
01
—
68-00180
EVERCARE
MA
01
—
6801002
UNITED HEALTHCARE
MA
01
—
M88004
BCBS MA
MA
Enumeration date
05/01/2006
Last updated
12/29/2010
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