Provider Demographics
NPI:1013041318
Name:BOSTON EYE PHYSICIANS & SURGEONS, P.C.
Entity Type:Organization
Organization Name:BOSTON EYE PHYSICIANS & SURGEONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:617-232-9600
Mailing Address - Street 1:44 WASHINGTON ST
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7130
Mailing Address - Country:US
Mailing Address - Phone:617-232-9600
Mailing Address - Fax:617-232-7002
Practice Address - Street 1:44 WASHINGTON ST STE 103A
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7167
Practice Address - Country:US
Practice Address - Phone:617-232-9600
Practice Address - Fax:617-232-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty