Provider Demographics
NPI:1477828119
Name:DC EYE ASSOCIATES, P.L.L.C.
Entity Type:Organization
Organization Name:DC EYE ASSOCIATES, P.L.L.C.
Other - Org Name:ELITE EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:603-267-0101
Mailing Address - Street 1:8 SANDPIPER CIR
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1523
Mailing Address - Country:US
Mailing Address - Phone:781-405-1346
Mailing Address - Fax:603-574-4839
Practice Address - Street 1:779 LAFAYETTE RD. UNIT 5
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874
Practice Address - Country:US
Practice Address - Phone:603-474-3781
Practice Address - Fax:603-574-4839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0859152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty