Provider Demographics
NPI:1437489812
Name:EAST COAST VISION, INC.
Entity Type:Organization
Organization Name:EAST COAST VISION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:V
Authorized Official - Last Name:HAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:781-223-7070
Mailing Address - Street 1:90 PLEASANT VALLEY ST UNIT 250
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-7289
Mailing Address - Country:US
Mailing Address - Phone:781-223-7070
Mailing Address - Fax:
Practice Address - Street 1:90 PLEASANT VALLEY ST UNIT 250
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-7289
Practice Address - Country:US
Practice Address - Phone:781-223-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier