Provider Demographics
NPI:1124160973
Name:EYE CARE FOR KIDS, LLC
Entity type:Organization
Organization Name:EYE CARE FOR KIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:LABY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-769-4797
Mailing Address - Street 1:1 TAMARACK WAY
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2343
Mailing Address - Country:US
Mailing Address - Phone:781-769-4797
Mailing Address - Fax:781-769-4794
Practice Address - Street 1:95 WASHINGTON ST
Practice Address - Street 2:SUITE 592
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-4006
Practice Address - Country:US
Practice Address - Phone:781-769-4797
Practice Address - Fax:781-769-4794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA159550207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty