Provider Demographics
NPI:1932160504
Name:EYE PHYSICIANS OF NORTHAMPTON, PC
Entity Type:Organization
Organization Name:EYE PHYSICIANS OF NORTHAMPTON, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:S
Authorized Official - Last Name:BLEIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-584-6422
Mailing Address - Street 1:40 MAIN ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-3100
Mailing Address - Country:US
Mailing Address - Phone:413-584-6422
Mailing Address - Fax:413-584-4346
Practice Address - Street 1:40 MAIN ST
Practice Address - Street 2:SUITE 106
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-3100
Practice Address - Country:US
Practice Address - Phone:413-584-6422
Practice Address - Fax:413-584-4346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA379460OtherUNITED HEALTH CARE
MA709455OtherTUFTS HEALTH PLAN
MACK0668OtherMEDICARE RR
MA9727884Medicaid
MAM11749OtherBLUE CROSS BLUE SHIELD MA
MA9727884Medicaid
MA0327320001Medicare NSC
MAA55330Medicare UPIN