Provider Demographics
NPI:1598521163
Name:MONOPLEX EYE PROSTHETICS, INC
Entity Type:Organization
Organization Name:MONOPLEX EYE PROSTHETICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZANOVICZ BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:BCO
Authorized Official - Phone:508-347-3818
Mailing Address - Street 1:169 S RIVER RD UNIT 14A
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6972
Mailing Address - Country:US
Mailing Address - Phone:603-622-5200
Mailing Address - Fax:603-644-2354
Practice Address - Street 1:54 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:STURBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01566-1281
Practice Address - Country:US
Practice Address - Phone:508-347-3818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularistGroup - Single Specialty