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MASSACHUSETTS SOUTH EASTERN EYE CENTER INC. NPI 1841499670


NPI Information

NPI: 1841499670
Provider Name: MASSACHUSETTS SOUTH EASTERN EYE CENTER, INC.
Classification: Technician/Technologist - 156FX1100X
Entity Type: Organization

Specialization: Ophthalmic

Address:
40 CHURCH AVE
SUITE 201
WAREHAM, MA
ZIP 02571
Phone: (508) 295-3193
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MASSACHUSETTS SOUTH EASTERN EYE CENTER, INC. is an ophthalmic technician technologist in Wareham, MA. The provider is an ophthalmic technician/technologist assists ophthalmologists by performing ophthalmic clinical functions, including administering eye exams, administering eye medications, and instructing the patient in care and use of corrective lenses. MASSACHUSETTS SOUTH EASTERN EYE CENTER, INC. NPI is 1841499670. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

40 CHURCH AVE
SUITE 201
WAREHAM, MA
ZIP 02571-093
Phone: (508) 295-3193
Fax: (508) 295-4635

The provider's authorized official is Charles C White .
The authorized official title is Ophthalmologist and has the following contact phone number (508) 295-3193.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 2/19/2013.


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
1156FX1100XTechnician/TechnologistOphthalmicMASSACHUSETTSYes
2174400000XSpecialist53631MASSACHUSETTSNo

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
1B74519MEDICARE UPINMASSACHUSETTS
29758178MEDICAIDMASSACHUSETTS
3110071159AMEDICAIDMASSACHUSETTS
4715421OTHERMASSACHUSETTSTUFTS HEALTHCARE

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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