Provider Demographics
NPI:1679125652
Name:CAPEWAY EYE CARE PC
Entity Type:Organization
Organization Name:CAPEWAY EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:DELUGAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:781-834-6389
Mailing Address - Street 1:709 PLAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-2105
Mailing Address - Country:US
Mailing Address - Phone:781-834-6389
Mailing Address - Fax:781-834-7865
Practice Address - Street 1:709 PLAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-2105
Practice Address - Country:US
Practice Address - Phone:781-834-6389
Practice Address - Fax:781-834-7865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty