Healthcare Provider Details

I. General information

NPI: 1871777565
Provider Name (Legal Business Name): EYE CARE SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2007
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 WASHINGTON ST GUILD MEDICAL BUILDING, SUITE 230
NORWOOD MA
02062-3441
US

IV. Provider business mailing address

825 WASHINGTON ST GUILD MEDICAL BUILDING, SUITE 230
NORWOOD MA
02062-3441
US

V. Phone/Fax

Practice location:
  • Phone: 781-769-8880
  • Fax: 781-769-2850
Mailing address:
  • Phone: 781-769-8880
  • Fax: 781-769-2850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number58094
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE TANNOUS FRANGIEH
Title or Position: OWNER/DOCTOR
Credential: MD,FACS
Phone: 781-910-6210