Provider Demographics
NPI:1124028592
Name:KRAN, BARRY (OD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:KRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:940 COMMONWEALTH AVE
Mailing Address - Street 2:SUITE 2 NEW ENGLAND EYE INSTITUTE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-212-2020
Mailing Address - Fax:617-236-6323
Practice Address - Street 1:175 NORTH BEACON STREET
Practice Address - Street 2:NEW ENGLAND EYE AT PERKINS SCHOOL BLVD
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472
Practice Address - Country:US
Practice Address - Phone:617-924-3434
Practice Address - Fax:617-236-6323
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA3279152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
153196OtherHARVARD PILGRIM
MA3279OtherEYEMED
980298OtherNETWORK HEALTH
0353906OtherMASS HEALTH
22362OtherNHP
5004482OtherAETNA
MA353906Medicaid
37722OtherCMSP
407524OtherTUFTS
417658OtherMEDICARE
W15221OtherBCBS
0344494OtherCIGNA
30546OtherBMC HEALTHNET
W15721OtherBCBS
407524OtherTUFTS
T59442Medicare UPIN