Tallman Eye Bidco

LBN: Tallman Eye Bidco
Tallman Eye Bidco is an health care organization with primary practice located at 360 Merrimack St Bldg 9, Entrance I, Lawrence MA 01863-1764. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Tallman Eye Bidco can be contacted via phone (978) 688-6182, or through Deangelis, Cynthia via phone (978) 688-6182.

Contact Information

Primary practice address
360 Merrimack St Bldg 9, Entrance I Lawrence MA 01863-1764
Phone: (978) 688-6182
Fax: (978) 689-0731
Website:
Map and Directions
Authorized official contact:
Name: Deangelis, Cynthia Doctor of Medicine (MD)
Phone: (978) 688-6182

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1033419072
LBN Legal business name Tallman Eye Bidco
DBA Doing business as Tallman Eye Bidco
Authorized official Deangelis, Cynthia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2010
Last updated May 19th, 2016 - about 10 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 1033419072 NPPES
Massachusetts MEDICAID 9713735
Massachusetts Other M12639

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