Provider Demographics
NPI:1477655801
Name:CATARACT AND LASER CENTER ASSOCIATES PC
Entity type:Organization
Organization Name:CATARACT AND LASER CENTER ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-743-9934
Mailing Address - Street 1:1 BERKSHIRE SQUARE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01220
Mailing Address - Country:US
Mailing Address - Phone:413-743-9930
Mailing Address - Fax:413-743-9982
Practice Address - Street 1:1 BERKSHIRE SQ
Practice Address - Street 2:SUITE 110
Practice Address - City:ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01220-1300
Practice Address - Country:US
Practice Address - Phone:413-743-9934
Practice Address - Fax:413-743-9982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
221027Medicare ID - Type Unspecified