Provider Demographics
NPI:1831381045
Name:COMFORT VISION INC
Entity type:Organization
Organization Name:COMFORT VISION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRUNG
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-875-9636
Mailing Address - Street 1:543 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-7205
Mailing Address - Country:US
Mailing Address - Phone:617-657-0205
Mailing Address - Fax:617-657-0206
Practice Address - Street 1:543 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-7205
Practice Address - Country:US
Practice Address - Phone:617-657-0205
Practice Address - Fax:617-657-0206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-11
Last Update Date:2022-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4555152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7784859OtherCIGNA
MAW16485OtherBCBS MA
MA53944OtherDAVIS VISION
MAAA82048OtherHARVARD PILGRIM
MA0708836Medicaid
MA495705OtherTUFTS
MA0708844Medicaid
MA132152OtherAETNA
MA3603559OtherCIGNA
MAMA4545OtherEYEMED
MA110078170/AMedicaid
MAW16487OtherBCBS MA
MAAA82058OtherHARVARD PILGRIM
MAMA4545OtherEYEMED
MA110078170/AMedicaid