Provider Demographics
NPI:1407907884
Name:GREATER MILFORD EYE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:GREATER MILFORD EYE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:FERRUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-837-3790
Mailing Address - Street 1:192 WEST ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2239
Mailing Address - Country:US
Mailing Address - Phone:508-837-3790
Mailing Address - Fax:508-478-3392
Practice Address - Street 1:192 WEST ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2239
Practice Address - Country:US
Practice Address - Phone:508-473-0395
Practice Address - Fax:508-478-3392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-14
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2468152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5140193OtherAETNA
MAW20096OtherBLUE CROSS & BLUE SHIELD
MA5140193OtherAETNA
MA=========OtherUNITED HEALTH CARE
MA5140193OtherAETNA