Provider Demographics
NPI:1811738453
Name:DUXBURY VISION PC
Entity type:Organization
Organization Name:DUXBURY VISION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:781-934-6945
Mailing Address - Street 1:27 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-3877
Mailing Address - Country:US
Mailing Address - Phone:781-934-6945
Mailing Address - Fax:781-934-1351
Practice Address - Street 1:27 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-3877
Practice Address - Country:US
Practice Address - Phone:781-934-6945
Practice Address - Fax:781-934-1351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty