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Contact Information

BOSTON LASER MEDFORD LLC
92 HIGH ST
UNIT T31
MEDFORD, MA02155-3850
 Phone: 781-396-4010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BOSTON LASER MEDFORD LLC

NPI # 1558717249
LBN Legal business name BOSTON LASER MEDFORD LLC
Authorized official SAMIR MELKI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2016
Last updated 05/11/2016 - About 10 years ago
Identifiers n/a
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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