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Organization

BOSTON EYE CARE CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT A LYTLE M.D. (PRESIDENT)
(508) 771-6447
Entity
Organization

Contact information

Practice address
51 MAIN ST, SUITE 4-5, HYANNIS, MA 02601-3109
(508) 771-6447
(508) 775-5104
Mailing address
51 MAIN ST, SUITE 4-5, HYANNIS, MA 02601-3109
(508) 771-6447
(508) 775-5104

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2579
MA
207W00000X
Ophthalmology Physician
Primary
54395
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0393762
MA
01
1063440881
JANET LEMOINE NPI
MA
01
15376
PILGRIM
MD
01
1831185099
LYTLE NPI
MA
01
711397
TUFTS
MA
01
AETNA
4090239
MA
01
M14824
BCBS GROUP
MA
Enumeration date
02/27/2007
Last updated
09/20/2011
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