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Contact Information

BOSTON UNIVERSITY EYE ASSOCIATES, INC.
2005 BAY ST STE 206
TAUNTON, MA02780-1085
 Phone: 508-823-7473
 Fax: 508-824-3830
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BOSTON UNIVERSITY EYE ASSOCIATES, INC.

NPI # 1154317865
LBN Legal business name BOSTON UNIVERSITY EYE ASSOCIATES, INC.
Authorized official STEPHEN CHRISTIANSEN - (CHAIRMAN)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2005
Last updated 09/25/2018 - About 8 years ago
Identifiers
MA License # N/A
MA Medicaid 9766162
MA Other 93923 AETNA
MA Other M88004 BCBS (FACILITY)
MA Other M15401 BCBS (MD'S)
MA Other W20231 BCBS (OPTOMETRY)
MA Other 600685 TUFTS (FACILITY)
MA Other 615277 TUFTS (PRACTICE)
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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