Organization
LEXINGTON EYE ASSOCIATES-BID
Active
Parent organization
LEXINGTON EYE ASSOCIATES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEXINGTON EYE ASSOCIATES, INC
Authorized official
JENNIFER P. MULLON M.D. (PRESIDENT)
(781) 862-1620
Entity
Organization
Contact information
Practice address
21 WORTHEN RD, LEXINGTON, MA 02421-4835
(781) 862-1620
(781) 863-9416
Mailing address
21 WORTHEN RD, LEXINGTON, MA 02421-4835
(781) 862-1620
(781) 863-9416
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S100198299
MEDICARE
MA
Enumeration date
07/28/2016
Last updated
07/28/2016
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