Individual
DR. KRISTEN PAGE LAMOREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D., M.A.
Contact information
Practice address
11 NEVINS ST, NEW ENGLAND EYE CENTER, SUITE 205, BRIGHTON, MA 02135-3514
(617) 783-5050
(617) 783-0734
Mailing address
11 NEVINS ST, NEW ENGLAND EYE CENTER, SUITE 205, BRIGHTON, MA 02135-3514
(617) 783-5050
(617) 783-0734
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4584
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000136001
MEDICARE PTAN
MA
05
—
2137615
—
MA
01
—
9758050
AETNA
MA
01
—
MA 4584
EYEMED
MA
01
—
W16512
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/04/2006
Last updated
07/24/2008
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