North Suburban Eye Associates
Ophthalmology in Wakefield, MA. Organization (NPI-2).
NPI number1407186992
StatusActive
Last updated in NPPESJan 5, 2010
Details
- NPI
- 1407186992
- Entity type
- Organization (NPI-2)
- Legal business name
- North Suburban Eye Associates
- Organization subpart
- No
- Enumeration date
- Jan 5, 2010
- Last updated
- Jan 5, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
Practice location
669 Main StWakefield, MA 01880-5221
Phone 781-245-5200
Mailing address
669 Main StWakefield, MA 01880-5221
Phone 781-245-5200
Authorized official
C Douglas Evans
President/Owner
7812455200
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