Organization
WATERTOWN EYE GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX RUSSAKOVSKY O.D. (PRESIDENT)
(617) 285-4575
Entity
Organization
Contact information
Practice address
485 ARSENAL ST, C/O PEARLE VISION, WATERTOWN, MA 02472-5091
(617) 923-2022
(617) 923-2023
Mailing address
22 MCGRATH HWY # 4, C/O PEARLE VISION, SOMERVILLE, MA 02143-4508
(617) 623-7522
(617) 623-1326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4635
MA
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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