Provider Demographics
NPI:1033379219
Name:CHILDRENS HOSPITAL OPHTHALMOLOGY FOUNDATION INC
Entity Type:Organization
Organization Name:CHILDRENS HOSPITAL OPHTHALMOLOGY FOUNDATION INC
Other - Org Name:CHILDRENS HOSPITAL OPHTHALMOLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-355-6401
Mailing Address - Street 1:OPHTHALMOLOGY SUITE 9 HOPE AVE
Mailing Address - Street 2:CHILDRENS HOSPITAL BOSTON AT WALTHAM
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-2741
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:OPHTHALMOLOGY SUITE 9 HOPE AVE
Practice Address - Street 2:CHILDRENS HOSPITAL BOSTON AT WALTHAM
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02456-2741
Practice Address - Country:US
Practice Address - Phone:781-216-1420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren