Provider Demographics
NPI:1568546968
Name:VISION CARE SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:VISION CARE SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ERWIN
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-481-8558
Mailing Address - Street 1:30 TURNPIKE RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SOUTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01772-2115
Mailing Address - Country:US
Mailing Address - Phone:508-481-8558
Mailing Address - Fax:508-848-3057
Practice Address - Street 1:30 TURNPIKE RD
Practice Address - Street 2:SUITE 7
Practice Address - City:SOUTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01772-2115
Practice Address - Country:US
Practice Address - Phone:508-481-8558
Practice Address - Fax:508-848-3057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4028152W00000X, 152WL0500X
MA3407152W00000X, 152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Not Answered152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Single Specialty
Not Answered152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA625118OtherTUFTS GROUP ID NUMBER
MA0036186OtherNEIGHBORHOOD HEALTH PLAN
MA44680OtherDAVIS VISION GROUP ID NUM
MAW20370OtherBCBS GROUP ID NUMBER
MAW20370OtherBCBS GROUP ID NUMBER