Healthcare Provider Details

I. General information

NPI: 1942965421
Provider Name (Legal Business Name): NORWOOD EYE CARE SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2021
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 WASHINGTON ST STE 230
NORWOOD MA
02062-3488
US

IV. Provider business mailing address

825 WASHINGTON ST STE 230
NORWOOD MA
02062-3488
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 Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
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
Phone: 781-769-8880