Healthcare Provider Details

I. General information

NPI: 1215323258
Provider Name (Legal Business Name): ATRIUS HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2015
Last Update Date: 04/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LYONS ST
DEDHAM MA
02026-5599
US

IV. Provider business mailing address

275 GROVE ST SUITE 3-300
AUBURNDALE MA
02466-2272
US

V. Phone/Fax

Practice location:
  • Phone: 781-329-1400
  • Fax:
Mailing address:
  • Phone: 617-559-8393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. DANIEL BURNES
Title or Position: INTERIM CHIEF EXECUTIVE OFFICER
Credential:
Phone: 617-559-8393