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Contact Information

BOSTON VISION NETWORK ONE-LAWRENCE LLC
25 MARSTON ST APT 104
LAWRENCE, MA01841-2356
 Phone: 978-685-5366
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for BOSTON VISION NETWORK ONE-LAWRENCE LLC

NPI Number 1629712526
LBN Legal business name BOSTON VISION NETWORK ONE-LAWRENCE LLC
Authorized official SENADA BERGERON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2022
Last updated 07/19/2022 - About 4 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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