Organization
PIONEER VALLEY EYE SURGERY AND LASER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN T. BERGER M.D. (MEDICAL DIRECTOR)
(413) 783-3100
Entity
Organization
Contact information
Practice address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 783-3100
(413) 782-7998
Mailing address
275 BICENTENNIAL HWY, SPRINGFIELD, MA 01118-1900
(413) 783-3100
(413) 782-7998
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
NONE
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
681722
TUFTS
MA
01
—
M88017
BLUE SHIELD OF MASSACHUSE
MA
Enumeration date
12/20/2005
Last updated
08/22/2020
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