Provider Demographics
NPI:1225116189
Name:POSTUM EYE CARE INC
Entity Type:Organization
Organization Name:POSTUM EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAINUB
Authorized Official - Middle Name:
Authorized Official - Last Name:POSTUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-642-4749
Mailing Address - Street 1:PO BOX 1161
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-1679
Mailing Address - Country:US
Mailing Address - Phone:617-642-4749
Mailing Address - Fax:
Practice Address - Street 1:13 MECHANIC ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02019-1679
Practice Address - Country:US
Practice Address - Phone:508-657-1242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4164152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW21071Medicare PIN