Organization
EYE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC H JOHNSON M.D. (PRESIDENT/EYE HEALTH SERVICES)
(617) 472-5242
Entity
Organization
Contact information
Practice address
1900 CROWN COLONY DR, SUITE 301, QUINCY, MA 02169-0931
(617) 472-5242
(617) 770-2975
Mailing address
1900 CROWN COLONY DR, SUITE 301, QUINCY, MA 02169-0931
(617) 472-5242
(617) 770-2975
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600020
TUFTS HEALTH PLAN
MA
01
—
93797
AETNA
MA
05
—
9711317
—
MA
Enumeration date
08/10/2006
Last updated
09/11/2008
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