Provider Demographics
NPI:1952858425
Name:LEXINGTON EYE ASSOCIATES, INC
Entity Type:Organization
Organization Name:LEXINGTON EYE ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:KILPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-862-1620
Mailing Address - Street 1:300 BAKER AVENUE
Mailing Address - Street 2:SUITE210
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2131
Mailing Address - Country:US
Mailing Address - Phone:978-369-1310
Mailing Address - Fax:978-369-4738
Practice Address - Street 1:300 BAKER AVENUE
Practice Address - Street 2:SUITE210
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2131
Practice Address - Country:US
Practice Address - Phone:978-369-1310
Practice Address - Fax:978-369-4738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty