Provider Demographics
NPI:1467993972
Name:METROWEST FAMILY EYE CARE LLC
Entity Type:Organization
Organization Name:METROWEST FAMILY EYE CARE LLC
Other - Org Name:METROWEST FAMILY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:617-270-3256
Mailing Address - Street 1:81 SPEEN ST
Mailing Address - Street 2:FL. 1
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-4168
Mailing Address - Country:US
Mailing Address - Phone:617-270-3256
Mailing Address - Fax:
Practice Address - Street 1:81 SPEEN ST
Practice Address - Street 2:FL. 1
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-4168
Practice Address - Country:US
Practice Address - Phone:617-270-3256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4269152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty