Healthcare Provider Details

I. General information

NPI: 1396933909
Provider Name (Legal Business Name): MEDICAL EYE CARE ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 05/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 N MAIN ST
ATTLEBORO MA
02703-1735
US

IV. Provider business mailing address

95 CHAPEL ST
NORWOOD MA
02062-3155
US

V. Phone/Fax

Practice location:
  • Phone: 508-222-9912
  • Fax:
Mailing address:
  • Phone: 781-762-9018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: GEORGE A. VIOLIN
Title or Position: PRESIDENT
Credential: MD
Phone: 781-255-8336