Healthcare Provider Details

I. General information

NPI: 1083644066
Provider Name (Legal Business Name): NEW ENGLAND VISION CARE,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

378 WASHINGTON ST
SOUTH ATTLEBORO MA
02703-5917
US

IV. Provider business mailing address

378 WASHINGTON ST
SOUTH ATTLEBORO MA
02703-5917
US

V. Phone/Fax

Practice location:
  • Phone: 508-761-5034
  • Fax: 508-761-5054
Mailing address:
  • Phone: 508-761-5034
  • Fax: 508-761-5054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY HIRAM KAMENS
Title or Position: OWNER
Credential: O.D.
Phone: 508-761-5034