Provider Demographics
NPI:1497907927
Name:EYE CARE SPECIALISTS
Entity Type:Organization
Organization Name:EYE CARE SPECIALISTS
Other - Org Name:20/20 OPITCAL BOUTIQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:TANNOUS
Authorized Official - Last Name:FRANGIEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACS
Authorized Official - Phone:781-769-8880
Mailing Address - Street 1:825 WASHINGTON ST
Mailing Address - Street 2:GUILD MEDICAL BUILDING SUITE 230
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3441
Mailing Address - Country:US
Mailing Address - Phone:781-769-8880
Mailing Address - Fax:781-769-8979
Practice Address - Street 1:32 DAY ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3520
Practice Address - Country:US
Practice Address - Phone:781-501-5660
Practice Address - Fax:781-501-5661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA58094332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies