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ANDOVER EYE ASSOCIATES INC NPI 1588678551


NPI Information

NPI: 1588678551
Provider Name: ANDOVER EYE ASSOCIATES, INC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 22D1028383

Address:
138 HAVERHILL ST
SUITE 104
ANDOVER, MA
ZIP 01810
Phone: (978) 475-0705
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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 22D1028383 - physician office 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CN0909OTHERMASSACHUSETTSRAILROAD MEDICARE
2706615OTHERTUFTS
3W21009MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
49731555MEDICAIDMASSACHUSETTS
5M12680MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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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