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Contact Information

GARDNER EYE ASSOCIATES INC
250 GREEN ST
SUITE 106
GARDNER, MA01440
 Phone: 978-632-7626
 Fax: 978-632-0227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for GARDNER EYE ASSOCIATES INC

NPI Number 1780852608
LBN Legal business name GARDNER EYE ASSOCIATES INC
Authorized official FOTIOS GANIAS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2008
Last updated 02/13/2008 - About 18 years ago
Identifiers
MA License # 36819
MA Medicaid 2019698
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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