SPRINGFIELD EYE ASSOCIATES INC NPI 1609880467

NPI Information

SPRINGFIELD EYE ASSOCIATES INC is a specialist in Springfield, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SPRINGFIELD EYE ASSOCIATES INC NPI is 1609880467. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3640 MAIN ST
SUITE 205
SPRINGFIELD, MA
ZIP 01107-145
Phone: (413) 739-7367
Fax: (413) 739-3808

The provider's authorized official is Mark A Jackowitz .
The authorized official title is President and has the following contact phone number (413) 739-7367.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 11/11/2010.

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:

Other Identifiers

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

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