Provider Demographics
NPI:1982829669
Name:NIELSEN EYE CENTER, INC.
Entity Type:Organization
Organization Name:NIELSEN EYE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-471-5665
Mailing Address - Street 1:300 CONGRESS ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-0907
Mailing Address - Country:US
Mailing Address - Phone:617-471-5665
Mailing Address - Fax:617-471-7041
Practice Address - Street 1:300 CONGRESS ST
Practice Address - Street 2:SUITE 201
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-0907
Practice Address - Country:US
Practice Address - Phone:617-471-5665
Practice Address - Fax:617-471-7041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA078177OtherTUFTS HEALTH PLAN
MA486843OtherTUFTS HEALTH
MAVEJ24135Medicaid
MA78-AA55122OtherHARVARD PILGRIM
MAJ28537OtherBLUE CROSS
MA152655OtherHARVARD PILGRIM
MA15778OtherHARVARD PILGRIM
MA2116120Medicaid
MA3112314Medicaid
MA210293OtherTUFTS HEALTH
MAJ13880OtherBLUE CROSS
MAVEJ24135OtherBLUE CROSS
MA078177OtherTUFTS HEALTH PLAN
MAVEJ24135OtherBLUE CROSS
MAJ28537OtherBLUE CROSS
MAVEJ24135Medicaid
MA486843OtherTUFTS HEALTH
MAJ13880Medicare ID - Type Unspecified