Gallery Eyecare, Llc

LBN: Gallery Eyecare, Llc
Gallery Eyecare, Llc is an health care organization with primary practice located at 2304 Washington St , Roxbury MA 02119-3221. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Gallery Eyecare, Llc can be contacted via phone (617) 202-9650, or through Dennis-Mahamed, Lesa via phone (617) 202-9650.

Contact Information

Primary practice address
2304 Washington St Roxbury MA 02119-3221
Phone: (617) 202-9650
Fax: (617) 202-9651
Website:
Map and Directions
Authorized official contact:
Name: Dennis-Mahamed, Lesa Doctor of Optometry (OD)
Phone: (617) 202-9650

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4734 Massachusetts

Profile Details

NPI number 1457724668
LBN Legal business name Gallery Eyecare, Llc
DBA Doing business as
Authorized official Dennis-Mahamed, Lesa Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2015
Last updated Nov 10th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457724668 NPPES
Massachusetts MEDICAID 110083858A

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