Organization
COMMONWEALTH EYECARE PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH PETER BOUVIER JR. M.D. (OWNER)
(413) 783-3100
Entity
Organization
Contact information
Practice address
275 BICENTENNIAL HWY STE 101, SPRINGFIELD, MA 01118-1965
(413) 783-3100
(413) 782-7998
Mailing address
275 BICENTENNIAL HWY STE 101, SPRINGFIELD, MA 01118-1965
(413) 783-3100
(413) 782-7998
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
226532
MA
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740603919
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS
MA
Enumeration date
01/24/2014
Last updated
10/05/2022
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