State Street Eye Health Associates

LBN: State Street Eye Health Associates
State Street Eye Health Associates is an health care organization with primary practice located at 33 Broad St , Boston MA 02109-4216. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. State Street Eye Health Associates can be contacted via phone (617) 742-7200, or through Favreau, Christina via phone (617) 742-7200.

Contact Information

Primary practice address
33 Broad St Boston MA 02109-4216
Phone: (617) 742-7200
Fax: (617) 742-7272
Website:
Map and Directions
Authorized official contact:
Name: Favreau, Christina
Phone: (617) 742-7200

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2665 Massachusetts
Eye and Vision Services Providers / Optometrist 152W00000X 2352 Massachusetts

Profile Details

NPI number 1689870602
LBN Legal business name State Street Eye Health Associates
DBA Doing business as
Authorized official Favreau, Christina
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1689870602 NPPES
Massachusetts MEDICAID 0336661
Massachusetts MEDICAID 0313351

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