Healthcare Provider Details
I. General information
NPI: 1366441800
Provider Name (Legal Business Name): MILFORD-FRANKLIN EYE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2005
Last Update Date: 07/21/2022
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
750 UNION ST
FRANKLIN MA
02038-2539
US
IV. Provider business mailing address
750 UNION ST
FRANKLIN MA
02038-2539
US
V. Phone/Fax
- Phone: 508-528-3344
- Fax: 508-541-6192
- Phone: 508-528-3344
- Fax: 508-541-6192
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | MA |
VIII. Authorized Official
Name:
JOHN
F
HATCH
Title or Position: SOC SIGNATORY
Credential: MD
Phone: 508-473-7939