Provider Demographics
NPI:1609021047
Name:EASTON EYE CONSULTANTS, PC
Entity Type:Organization
Organization Name:EASTON EYE CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMBIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGAHBAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-238-2388
Mailing Address - Street 1:15 ROCHE BROTHERS WAY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1000
Mailing Address - Country:US
Mailing Address - Phone:508-238-2388
Mailing Address - Fax:
Practice Address - Street 1:15 ROCHE BROTHERS WAY
Practice Address - Street 2:SUITE 140
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1000
Practice Address - Country:US
Practice Address - Phone:508-238-2388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA212310207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty