Healthcare Provider Details
I. General information
NPI: 1558987701
Provider Name (Legal Business Name): RETINA PHYSICIANS AND SURGEONS OF NEW ENGLAND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2020
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
54 HOPEDALE ST STE 1
HOPEDALE MA
01747-1732
US
IV. Provider business mailing address
54 HOPEDALE ST STE 1
HOPEDALE MA
01747-1732
US
V. Phone/Fax
- Phone: 508-488-9770
- Fax:
- Phone: 774-396-6905
- Fax: 810-202-7533
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207WX0107X |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QS0132X |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARK
D
BARSAMIAN
Title or Position: PHYSICIAN/OWNER
Credential: DO
Phone: 774-396-6905