Provider Demographics
NPI:1598330722
Name:OPHTHALMIC CONSULTANTS OF BOSTON, INC
Entity Type:Organization
Organization Name:OPHTHALMIC CONSULTANTS OF BOSTON, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ACCOUNTS PAYABLE
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-534-6003
Mailing Address - Street 1:50 STANIFORD ST STE 600
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2587
Mailing Address - Country:US
Mailing Address - Phone:800-635-0489
Mailing Address - Fax:
Practice Address - Street 1:146 CHURCH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-1950
Practice Address - Country:US
Practice Address - Phone:781-826-4396
Practice Address - Fax:781-826-6759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier