Provider Demographics
NPI:1255976601
Name:HOLDEN EYE CARE, L.L.C.
Entity type:Organization
Organization Name:HOLDEN EYE CARE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ANN-WHA
Authorized Official - Middle Name:JENNIFER
Authorized Official - Last Name:WEI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-829-6731
Mailing Address - Street 1:PO BOX 262
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-0262
Mailing Address - Country:US
Mailing Address - Phone:508-837-3790
Mailing Address - Fax:508-829-6732
Practice Address - Street 1:1355 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:MA
Practice Address - Zip Code:01520-1060
Practice Address - Country:US
Practice Address - Phone:508-829-6731
Practice Address - Fax:508-829-6732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-08
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty