Advanced Glaucoma Specialists

LBN: Advanced Glaucoma Specialists
Advanced Glaucoma Specialists is an health care organization with primary practice located at 20 Pondmeadow Dr Suite 203, Reading MA 01867-3218. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Advanced Glaucoma Specialists can be contacted via phone (781) 942-9876, or through Latina, Mark Anthony via phone (781) 942-9876.

Contact Information

Primary practice address
20 Pondmeadow Dr Suite 203 Reading MA 01867-3218
Phone: (781) 942-9876
Fax: (781) 942-9877
Website:
Map and Directions
Authorized official contact:
Name: Latina, Mark Anthony Doctor of Medicine (MD)
Phone: (781) 942-9876

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 48630 Massachusetts

Profile Details

NPI number 1790014900
LBN Legal business name Advanced Glaucoma Specialists
DBA Doing business as
Authorized official Latina, Mark Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2009
Last updated Dec 17th, 2009 - about 16 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 1790014900 NPPES
Massachusetts MEDICAID 977865

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