Pro Optical

LBN: Pro Optical
Pro Optical is an health care organization with primary practice located at 175 Cambridge St , Boston MA 02114-2743. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Pro Optical can be contacted via phone (617) 523-7006, or through Kublin, Jeffrey via phone (617) 523-7006.

Contact Information

Primary practice address
175 Cambridge St Boston MA 02114-2743
Phone: (617) 523-7006
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kublin, Jeffrey Doctor of Optometry (OD)
Phone: (617) 523-7006

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3070 Massachusetts

Profile Details

NPI number 1366556813
LBN Legal business name Pro Optical
DBA Doing business as
Authorized official Kublin, Jeffrey Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1366556813 NPPES
Massachusetts Other W20111 BLUE CROSS BLUE SHIELD

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