Provider Demographics
NPI:1841052362
Name:OPTOMIZE VISION CARE PLLC
Entity type:Organization
Organization Name:OPTOMIZE VISION CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FATOURAEI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-429-1330
Mailing Address - Street 1:841 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-1690
Mailing Address - Country:US
Mailing Address - Phone:508-429-1330
Mailing Address - Fax:
Practice Address - Street 1:841 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HOLLISTON
Practice Address - State:MA
Practice Address - Zip Code:01746-1690
Practice Address - Country:US
Practice Address - Phone:508-429-1330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty