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EYE CENTER OF THE NORTH SHORE LLC NPI 1609177948


NPI Information

NPI: 1609177948
Provider Name: EYE CENTER OF THE NORTH SHORE, LLC

Doing Business As: EYE CENTER OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
400 HIGHLAND AVE
SUITE 20
SALEM, MA
ZIP 01970
Phone: (978) 744-1177
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EYE CENTER OF THE NORTH SHORE, LLC is an eyewear supplier in Salem, MA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EYE CENTER OF THE NORTH SHORE, LLC NPI is 1609177948. The provider is registered as an organization entity type.
The provider Is Doing Business As Eye Center Optical.

The provider's business location address is:

400 HIGHLAND AVE
SUITE 20
SALEM, MA
ZIP 01970-003
Phone: (978) 744-1177
Fax: (978) 910-0507

The provider's authorized official is Randall Patkin .
The authorized official title is President and has the following contact phone number (978) 744-1177.

The enumeration date for this NPI number is 11/3/2010 and was last updated on 6/9/2011.


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
1332H00000XEyewear SupplierMASSACHUSETTSYes

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
10015503OTHERMASSACHUSETTSMEDICARE PTAN
2110087149AMEDICAIDMASSACHUSETTS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.