Healthcare Provider Details

I. General information

NPI: 1205917101
Provider Name (Legal Business Name): CATARACT & LASER CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 01/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 ELM ST
DEDHAM MA
02026-4530
US

IV. Provider business mailing address

333 ELM ST
DEDHAM MA
02026-4530
US

V. Phone/Fax

Practice location:
  • Phone: 781-326-3800
  • Fax:
Mailing address:
  • Phone: 781-326-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN DUNNE
Title or Position: ADMINISTRATOR
Credential:
Phone: 781-326-3800