Provider Demographics
NPI:1699185363
Name:VOLARE EYECARE PC
Entity Type:Organization
Organization Name:VOLARE EYECARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:LUBAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-378-2254
Mailing Address - Street 1:7 STRATHMORE RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-1793
Mailing Address - Country:US
Mailing Address - Phone:508-378-2254
Mailing Address - Fax:508-584-8500
Practice Address - Street 1:36 PARAMOUNT DR
Practice Address - Street 2:
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-1001
Practice Address - Country:US
Practice Address - Phone:508-982-4856
Practice Address - Fax:508-584-8500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4196152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW17337Medicare PIN