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Contact Information

CODMAN EYE CARE AFFILIATES -SOUTH SHORE INC
9 WARREN ST
RANDOLPH, MA02368
 Phone: 781-963-8448
 Fax: 781-963-5289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CODMAN EYE CARE AFFILIATES SOUTH SHORE INC · (Female)

NPI # 1679062335
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2018
Last updated 03/11/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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