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Contact Information

ATLANTIC COAST OPHTHALMOLOGY, P.C.
152 LYNNWAY
SUITE 2G
LYNN, MA01902-3462
 Phone: 781-593-3939
 Fax: 781-593-4449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for ATLANTIC COAST OPHTHALMOLOGY, P.C.

NPI # 1013048180
LBN Legal business name ATLANTIC COAST OPHTHALMOLOGY, P.C.
Authorized official NEIL GROSS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2007
Last updated 11/02/2011 - About 15 years ago
Identifiers
MA License # 78232
MA Medicaid 9750771
MA Other 4081728 AETNA
MA Other J28467 BCBS
MA Other 2366203 CIGNA
MA Other 92136 FALLON
MA Other AA26124 HARVARD PILGRIM
MA Other 968560 NETWORK HEALTH
MA Other 0036754 NHP
MA Other 79258 UNICARE
MA Other 2254201 UNITED HEALTH CARE
MD Other 470104 TUFTS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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