Organization
AMERICAN VISION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAILENN TSAO M.D. (OWNER)
(781) 729-7401
Entity
Organization
Contact information
Practice address
955 MAIN ST, SUITE 204, WINCHESTER, MA 01890-1961
(781) 729-7401
(781) 729-5160
Mailing address
PO BOX 88, WINCHESTER, MA 01890-0188
(781) 729-7401
(781) 729-5160
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
159572
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9745980
—
MA
Enumeration date
06/14/2006
Last updated
09/28/2013
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