Organization
BAO CHE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAO CHE O.D. (OPTOMETRIST)
(978) 531-7217
Entity
Organization
Contact information
Practice address
300 ANDOVER ST, PEABODY, MA 01960-1526
(978) 531-7217
Mailing address
300 ANDOVER ST, PEABODY, MA 01960-1526
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0774
NH
152W00000X
Optometrist
Primary
4517
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20412
BCBSMA GROUP #
MA
Enumeration date
03/14/2007
Last updated
06/16/2008
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