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MCPHS UNIVERSITY NPI 1871852566


NPI Information

NPI: 1871852566
Provider Name: MCPHS UNIVERSITY

Doing Business As: EYE AND VISION CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 22D2116244

Address:
10 LINCOLN SQ
WORCESTER, MA
ZIP 01608
Phone: (508) 373-5830
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MCPHS UNIVERSITY is a general practice in Worcester, MA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MCPHS UNIVERSITY NPI is 1871852566. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eye And Vision Center.

The provider's business location address is:

10 LINCOLN SQ
WORCESTER, MA
ZIP 01608-135
Phone: (508) 373-5830
Fax: (508) 519-5370

The provider's authorized official is Richard J Lessard .
The authorized official title is Exec Vice President, Coo & Cfo and has the following contact phone number (617) 732-2132.

The CLIA number assigned to this NPI record is 22D2116244 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2012 and was last updated on 3/26/2015.


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
1152W00000XOptometristNo
2152WC0802XOptometristCorneal and Contact ManagementNo
3152WL0500XOptometristLow Vision RehabilitationNo
4152WP0200XOptometristPediatricsNo
5156FX1800XTechnician/TechnologistOpticianNo
6207W00000XOphthalmologyNo
7332H00000XEyewear Supplier1385MASSACHUSETTSNo
8208D00000XGeneral PracticeYes

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
10032592MEDICARE PINMASSACHUSETTS

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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