Vitreo-Retinal Associates Pc

LBN: Vitreo-Retinal Associates Pc
Vitreo-Retinal Associates Pc is an health care organization with primary practice located at 67 Belmont St Ste 302 , Worcester MA 01605-2608. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Vitreo-Retinal Associates Pc can be contacted via phone (865) 531-0176, or through Champa, Marc A via phone (508) 752-1155.

Contact Information

Primary practice address
67 Belmont St Ste 302 Worcester MA 01605-2608
Phone: (865) 531-0176
Fax: (508) 752-4862
Website:
Map and Directions
Authorized official contact:
Name: Champa, Marc A
Phone: (508) 752-1155

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1588892244
LBN Legal business name Vitreo-Retinal Associates Pc
DBA Doing business as
Authorized official Champa, Marc A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2009
Last updated Mar 22nd, 2018 - about 6 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 1588892244 NPPES
Massachusetts Other 0013345 MEDICARE PTAN
Massachusetts Other M19742 MEDICARE PTAN
Massachusetts MEDICAID 110068662A MEDICARE PTAN

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