Healthcare Provider Details

I. General information

NPI: 1336447523
Provider Name (Legal Business Name): PUZIO EYECARE ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2011
Last Update Date: 03/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 B ROUTE 137
EAST HARWICH MA
02645-2153
US

IV. Provider business mailing address

P.O. BOX 1661
EAST HARWICH MA
02645-1661
US

V. Phone/Fax

Practice location:
  • Phone: 508-432-3444
  • Fax: 508-432-3401
Mailing address:
  • Phone: 508-432-3444
  • Fax: 508-432-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FRANK D PUZIO
Title or Position: MEMBER
Credential: O.D., F.A.A.O.
Phone: 508-394-2211