Harvard Square Eye Care P.C.
Optometrist in Cambridge, MA. Organization (NPI-2).
NPI number1003002155
StatusActive
Last updated in NPPESMar 4, 2008
Details
- NPI
- 1003002155
- Entity type
- Organization (NPI-2)
- Legal business name
- Harvard Square Eye Care P.C.
- Organization subpart
- No
- Enumeration date
- Sep 22, 2007
- Last updated
- Mar 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4211 | MA | Yes |
| 152WP0200X | Optometrist, Pediatrics | 4211 | MA | |
| 152WS0006X | Optometrist, Sports Vision | 4211 | MA | |
| 156FC0800X | Technician/Technologist, Contact Lens | 4211 | MA | |
| 156FC0801X | Technician/Technologist, Contact Lens Fitter | 4211 | MA | |
| 156FX1800X | Technician/Technologist, Optician | 6165 | MA |
Practice location
19 Dunster StCambridge, MA 02138-5002
Phone 617-354-5590
Mailing address
19 Dunster StCambridge, MA 02138-5002
Phone 617-354-5590
Authorized official
Lauren Dickerman
President
61733545590
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