Healthcare Provider Details

I. General information

NPI: 1891619391
Provider Name (Legal Business Name): RETINA CARE MASSACHUSETTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 SURVEYORS LN
VINEYARD HAVEN MA
02568-6369
US

IV. Provider business mailing address

109 HARVEY ST
CAMBRIDGE MA
02140-1720
US

V. Phone/Fax

Practice location:
  • Phone: 617-468-1741
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: WARD FICKWEILER
Title or Position: OWNER
Credential: MD, PHD
Phone: 857-285-1561