Provider Demographics
NPI:1023077757
Name:THE BOSTON FOUNDATION FOR SIGHT, INC.
Entity type:Organization
Organization Name:THE BOSTON FOUNDATION FOR SIGHT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANGER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
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:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27372207W00000X
MA4412152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA152662OtherHPHC
MA690725OtherTUFTS
MAW20285OtherBCBSMA
MAM17796OtherBCBS
MA9708685Medicaid
MAM20986Medicare PIN