=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083644066
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW ENGLAND VISION CARE,P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/04/2006
-----------------------------------------------------
Last Update Date | 03/27/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 378 WASHINGTON ST
-----------------------------------------------------
City | SOUTH ATTLEBORO
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02703-5917
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-761-5034
-----------------------------------------------------
Fax | 508-761-5054
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 378 WASHINGTON ST
-----------------------------------------------------
City | SOUTH ATTLEBORO
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02703-5917
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-761-5034
-----------------------------------------------------
Fax | 508-761-5054
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. GARY HIRAM KAMENS
-----------------------------------------------------
Credential | O.D.
-----------------------------------------------------
Telephone | 508-761-5034
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332H00000X
-----------------------------------------------------
Taxonomy Name | Eyewear Supplier
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------