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Contact Information

FAMILY EYE CARE CENTER & OPTICAL GALLERY INC.
5 CORNERSTONE SQUARE
SUITE 101
WESTFORD, MA01886-3198
 Phone: 978-692-1400
 Fax: 978-692-5995
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for FAMILY EYE CARE CENTER & OPTICAL GALLERY INC.

NPI Number 1346520194
LBN Legal business name FAMILY EYE CARE CENTER & OPTICAL GALLERY INC.
Authorized official DWAYNE BAHAROZIAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/25/2011
Last updated 10/22/2012 - About 14 years ago
Identifiers
MA Medicaid 9775137
MA Other M16086 BC/BS
MA Other 23648 FALLON
MA Other 150559 HARVARD PILGRIM HEALTH CARE
MA Other 740025 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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