Provider Demographics
NPI:1841856697
Name:INTEGRITY EYE CARE LLC
Entity type:Organization
Organization Name:INTEGRITY EYE CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HERALD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:617-840-0803
Mailing Address - Street 1:599 FALL RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-5409
Mailing Address - Country:US
Mailing Address - Phone:617-840-0803
Mailing Address - Fax:
Practice Address - Street 1:3950 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-1679
Practice Address - Country:US
Practice Address - Phone:508-673-2370
Practice Address - Fax:508-673-5834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-17
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110100658AMedicaid