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SOUTH SHORE EYE CARE P.C. NPI 1528103900


NPI Information

NPI: 1528103900
Provider Name: SOUTH SHORE EYE CARE, P.C.

Former Legal Business Name: MASSACHUSETTS EYE CARE ASSOCIATES, P.C

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2110 DORCHESTER AVE
SUITE 100
BOSTON, MA
ZIP 02124
Phone: (617) 298-5300
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SOUTH SHORE EYE CARE, P.C. is an ophthalmology in Boston, MA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SOUTH SHORE EYE CARE, P.C. NPI is 1528103900. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Massachusetts Eye Care Associates, P.c.

The provider's business location address is:

2110 DORCHESTER AVE
SUITE 100
BOSTON, MA
ZIP 02124-628
Phone: (617) 298-5300
Fax: (617) 296-3028

The provider's authorized official is Mary Lisa Mcham .
The authorized official title is President and has the following contact phone number (617) 298-5300.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 4/1/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology077904MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11308460001MEDICARE NSC
2M13040MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSMEDICARE # FOR PRACTICE
39733655MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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