Provider Demographics
NPI:1174005110
Name:EASTON EYE CONSULTANTS, PC
Entity Type:Organization
Organization Name:EASTON EYE CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-238-2388
Mailing Address - Street 1:EASTON EYE CONSULTANTS
Mailing Address - Street 2:15 ROCHE BROS WAY SUITE 100
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356
Mailing Address - Country:US
Mailing Address - Phone:508-238-2388
Mailing Address - Fax:508-238-2073
Practice Address - Street 1:EASTON EYE CONSULTANTS
Practice Address - Street 2:15 ROCHE BROS WAY SUITE 100
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356
Practice Address - Country:US
Practice Address - Phone:508-238-2388
Practice Address - Fax:508-238-2073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty