Provider Demographics
NPI:1467214254
Name:NATICK EYE HOLDINGS, LLC
Entity Type:Organization
Organization Name:NATICK EYE HOLDINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROOT
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTINIAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:781-258-6229
Mailing Address - Street 1:1364 WORCESTER ST
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1514
Mailing Address - Country:US
Mailing Address - Phone:508-655-8127
Mailing Address - Fax:
Practice Address - Street 1:1364 WORCESTER ST
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1514
Practice Address - Country:US
Practice Address - Phone:508-655-8127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty