ANDOVER EYE ASSOCIATES INC NPI 1588678551

NPI Information

  • NPI: 1588678551
  • Provider Name: ANDOVER EYE ASSOCIATES, INC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • CLIA Number: 22D2181121
  • Address: 138 HAVERHILL ST
    SUITE 104
    ANDOVER, MA
    ZIP 01810
  • Phone: (978) 475-0705

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NPI Details

ANDOVER EYE ASSOCIATES, INC is an ophthalmology in Andover, 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. ANDOVER EYE ASSOCIATES, INC NPI is 1588678551. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

138 HAVERHILL ST
SUITE 104
ANDOVER, MA
ZIP 01810-509
Phone: (978) 475-0705
Fax: (978) 475-0008

The provider's authorized official is Ellyn Dempsey .
The authorized official title is Billing Manager and has the following contact phone number (978) 475-0705.

The CLIA number assigned to this NPI record is 22D2181121 - other - clinical research site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 4/9/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CN0909OTHERMASSACHUSETTSRAILROAD MEDICARE
2706615OTHERTUFTS
3W21009MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
49731555MEDICAIDMASSACHUSETTS
5M12680MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

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This page was last updated on: 11/21/2025

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