Organization
EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL PATKIN M.D. (VICE-PRESIDENT)
(781) 581-7333
Entity
Organization
Contact information
Practice address
400 HIGHLAND AVE, SALEM, MA 01970-7003
(978) 744-1177
(978) 910-0125
Mailing address
400 HIGHLAND AVE, SUITE 20, SALEM, MA 01970-7003
(978) 744-1177
(978) 910-0125
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M12747
MEDICARE
MA
Enumeration date
07/30/2006
Last updated
01/04/2010
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