Provider Demographics
NPI:1407014806
Name:20 20 EYE CARE PC
Entity Type:Organization
Organization Name:20 20 EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:TANKERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-501-5650
Mailing Address - Street 1:91 CENTRAL ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3551
Mailing Address - Country:US
Mailing Address - Phone:781-501-5650
Mailing Address - Fax:781-501-5659
Practice Address - Street 1:91 CENTRAL ST
Practice Address - Street 2:SUITE B
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3551
Practice Address - Country:US
Practice Address - Phone:781-501-5650
Practice Address - Fax:781-501-5659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty