Healthcare Provider Details

I. General information

NPI: 1043451834
Provider Name (Legal Business Name): EZ EYECARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2009
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 BOYLSTON ST
BOSTON MA
02215-3909
US

IV. Provider business mailing address

1341 BOYLSTON ST
BOSTON MA
02215-3909
US

V. Phone/Fax

Practice location:
  • Phone: 508-661-9532
  • Fax:
Mailing address:
  • Phone: 508-661-9532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. SUSAN OSHEA
Title or Position: PRESIDENT
Credential: OD
Phone: 508-661-9532