CODMAN SQUARE HEALTH CENTER NPI 1437328648

NPI Details

CODMAN SQUARE HEALTH CENTER is an optometrist in Dorchester, MA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. CODMAN SQUARE HEALTH CENTER NPI is 1437328648. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

637 WASHINGTON STREET
DORCHESTER, MA
ZIP 02124
Phone: (617) 825-9660
Fax: (617) 288-7898

The provider's authorized official is Philip Severin .
The authorized official title is Medical Director and has the following contact phone number (617) 825-9660.

The CLIA number assigned to this NPI record is 22D0666316 - federally qualified health center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/22/2008 and was last updated on 2/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: