Provider Demographics
NPI:1326460916
Name:2020, INC
Entity Type:Organization
Organization Name:2020, INC
Other - Org Name:2020 ON-SITE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:BORNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-601-9374
Mailing Address - Street 1:33 ARCH ST FL 17
Mailing Address - Street 2:(NOTE: THIS IS A MOBILE ONLY PRACTICE)
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-1424
Mailing Address - Country:US
Mailing Address - Phone:206-601-9374
Mailing Address - Fax:
Practice Address - Street 1:33 ARCH ST FL 17
Practice Address - Street 2:(NOTE: THIS IS A MOBILE ONLY PRACTICE)
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-1424
Practice Address - Country:US
Practice Address - Phone:206-601-9374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA468R152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty