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NPI Code Detail

MEDICARE: EMPIRE VISION CENTER, INC

MEDICARE: EMPIRE VISION CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1730635582
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPIRE VISION CENTER, INC
Provider Business Mailing Address
First Line : PO BOX 418348
Second Line :
City : BOSTON
State : MA
Zip : 02241-8348
Country : US
Telephone Number : 800-349-5120
Fax Number : 210-524-6587
Provider Business Practice Location Address
First Line : 228 WASHINGTON ST
Second Line : STE A100
City : ATTLEBORO
State : MA
Zip : 02703-5518
Country : US
Telephone Number : 210-524-6922
Fax Number : 210-524-6587
Authorized Official
Title or Position : VP RETAIL MANAGED VISION CARE
Name : DOROTHY REYNOLDS
Credential :
Telephone Number : 210-524-6515
Provider Enumeration Date : 08/31/2016
Last Update Date : 08/31/2016

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Directions to “EMPIRE VISION CENTER, INC ” Practice Location

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