Provider Demographics
NPI:1073526109
Name:METROWEST EYE PHY.& SURG.PC
Entity Type:Organization
Organization Name:METROWEST EYE PHY.& SURG.PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROSTLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-875-9787
Mailing Address - Street 1:61 LINCOLN ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8264
Mailing Address - Country:US
Mailing Address - Phone:508-875-9787
Mailing Address - Fax:508-872-3476
Practice Address - Street 1:61 LINCOLN ST
Practice Address - Street 2:SUITE 212
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8264
Practice Address - Country:US
Practice Address - Phone:508-875-9787
Practice Address - Fax:508-872-3476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Not Answered207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9733361Medicaid
MA9733361Medicaid