Organization
PIONEER VALLEY EYE SURGERY AND LASER CENTER, LLC
Active
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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