Organization
REDSTONE EYE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRI BOONSIRISERMSOOK O.D. (OWNER)
(781) 438-3372
Entity
Organization
Contact information
Practice address
75 MAIN ST, STONEHAM, MA 02180-3305
(781) 438-3372
(781) 438-3050
Mailing address
75 MAIN ST, STONEHAM, MA 02180-3305
(781) 438-3372
(781) 438-3050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4307
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7734753
AETNA PROVIDER NUMBER
MA
01
—
AA29247
HARVARD PILGRIM
MA
01
—
MA4307
EYE MED VISION CARE
MA
01
—
W20386
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/03/2006
Last updated
08/22/2020
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