Healthcare Provider Details

I. General information

NPI: 1992642920
Provider Name (Legal Business Name): EYES ON CHARLTON PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 MASONIC HOME RD STE 6
CHARLTON MA
01507-6303
US

IV. Provider business mailing address

109 MASONIC HOME RD STE 6
CHARLTON MA
01507-6303
US

V. Phone/Fax

Practice location:
  • Phone: 508-248-1188
  • Fax:
Mailing address:
  • Phone: 508-248-1188
  • 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. NICHOLAS RYAN FEUCHT
Title or Position: OWNER
Credential: OD
Phone: 937-209-9908