Provider Demographics
NPI:1083644066
Name:NEW ENGLAND VISION CARE,P.C.
Entity Type:Organization
Organization Name:NEW ENGLAND VISION CARE,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:HIRAM
Authorized Official - Last Name:KAMENS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-761-5034
Mailing Address - Street 1:378 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-5917
Mailing Address - Country:US
Mailing Address - Phone:508-761-5034
Mailing Address - Fax:508-761-5054
Practice Address - Street 1:378 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SOUTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-5917
Practice Address - Country:US
Practice Address - Phone:508-761-5034
Practice Address - Fax:508-761-5054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA15977OtherHARVARD PILGRIM
RI22-02000OtherUNITED HEALTHCARE
RI7958-3OtherBLUE CROSS OF RI
MAW15431OtherBLUE CROSS OF MA
MA0021183OtherNEIGHBORHOOD HEALTH PLAN
MA0338966Medicaid
MA725508OtherTUFTS
RI203792OtherBLUE CHIP OF RI
MA8111OtherAETNA US HEALTHCARE
MA0404280002Medicare NSC
MA0338966Medicaid