Provider Demographics
NPI:1649239302
Name:BOSTON EYE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:BOSTON EYE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENTHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-726-7337
Mailing Address - Street 1:464 HILLSIDE AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1227
Mailing Address - Country:US
Mailing Address - Phone:781-726-7337
Mailing Address - Fax:781-726-7310
Practice Address - Street 1:464 HILLSIDE AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-1227
Practice Address - Country:US
Practice Address - Phone:781-726-7337
Practice Address - Fax:781-726-7310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM13378OtherBCBS
MA15456OtherHPHC
MA705335OtherTUFTS
MA9721576Medicaid
MA9721576Medicaid