Medford Eyeglass Shop Inc.

LBN: Medford Eyeglass Shop Inc.
Medford Eyeglass Shop Inc. is an health care organization with primary practice located at 466 Salem St , Medford MA 02155-3343. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Medford Eyeglass Shop Inc. can be contacted via phone (781) 391-4069, or through Buzzanga, Riccardo L via phone (781) 391-4069.

Contact Information

Primary practice address
466 Salem St Medford MA 02155-3343
Phone: (781) 391-4069
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buzzanga, Riccardo L RDO
Phone: (781) 391-4069

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 4427 Massachusetts

Profile Details

NPI number 1437272051
LBN Legal business name Medford Eyeglass Shop Inc.
DBA Doing business as
Authorized official Buzzanga, Riccardo L RDO
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Aug 14th, 2007 - about 19 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 1437272051 NPPES
Massachusetts MEDICAID 1512005

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