Provider Demographics
NPI:1982776274
Name:CAPE ANN EYE SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:CAPE ANN EYE SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:WEINSTEIN-ZANGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-281-0600
Mailing Address - Street 1:35 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-5715
Mailing Address - Country:US
Mailing Address - Phone:978-281-0600
Mailing Address - Fax:978-283-4516
Practice Address - Street 1:35 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-5715
Practice Address - Country:US
Practice Address - Phone:978-281-0600
Practice Address - Fax:978-283-4516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205078207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA152308OtherHARVARDPILGRIM
MAM17560OtherBLUE SHIELD
MA08-00730OtherUNITEDHEALTHCARE
MA682794OtherTUFTS
MA9731351Medicaid
MA1492692001OtherCIGNA
MA08-00730OtherUNITEDHEALTHCARE
MAH15352Medicare UPIN