Organization
CHILDRENS HOSPITAL OPHTHALMOLOGY FOUNDATION INC
Active
Other names
Pediatric Ophthalmology Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCIA P DAVIDSON (BILLING MANAGER)
(617) 355-6405
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVENUE, FEGAN 4, BOSTON, MA 02115
(617) 355-6401
(617) 730-0392
Mailing address
300 LONGWOOD AVENUE, FEGAN 4, BOSTON, MA 02115
(617) 355-6405
(617) 730-0305
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
09/26/2022
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