Provider Demographics
NPI:1568125086
Name:WESTERN MASS EYE CARE INC
Entity Type:Organization
Organization Name:WESTERN MASS EYE CARE INC
Other - Org Name:WESTERN MASS EYE CARE AND EYEWEAR GALLERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:CAMEROTA
Authorized Official - Last Name:MOLTENBREY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:413-537-1056
Mailing Address - Street 1:44 CAMELOT LN
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-5406
Mailing Address - Country:US
Mailing Address - Phone:413-537-1056
Mailing Address - Fax:
Practice Address - Street 1:53 COURT ST STE 1
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-3552
Practice Address - Country:US
Practice Address - Phone:413-264-0600
Practice Address - Fax:413-264-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty