Organization
BRIGHTON EYE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS F CARVALLO MBA (PRACTICE MANAGER)
(617) 782-6650
Entity
Organization
Contact information
Practice address
372 WASHINGTON ST, BRIGHTON, MA 02135-2725
(617) 782-6650
(617) 782-2660
Mailing address
372 WASHINGTON ST, BRIGHTON, MA 02135-2725
(617) 782-6650
(617) 782-2660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4178
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20318
BCBS OF MA
MA
Enumeration date
05/10/2007
Last updated
08/22/2020
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