Provider Demographics
NPI:1225604234
Name:FRIENDLY EYE CARE, LLC
Entity Type:Organization
Organization Name:FRIENDLY EYE CARE, LLC
Other - Org Name:FRIENDLY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:YING
Authorized Official - Middle Name:
Authorized Official - Last Name:WU-FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:781-599-5755
Mailing Address - Street 1:780 LYNNWAY
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01905-3061
Mailing Address - Country:US
Mailing Address - Phone:781-599-5755
Mailing Address - Fax:781-599-0705
Practice Address - Street 1:780 LYNNWAY
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01905-3061
Practice Address - Country:US
Practice Address - Phone:781-599-5755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty