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General NPI Number Information
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NPI Number | 1144287350
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Entity Type | Organization
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Legal Business Name | NORTH SHORE CATARACT AND LASER CENTER, LLC
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 91 MONTVALE AVE
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City | STONEHAM
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State | MA
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Zip | 02180
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Country | US
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Telephone | 781-438-5995
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Fax | 781-279-1238
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Provider Business Mailing Address
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Address Line | 91 MONTVALE AVE
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City | STONEHAM
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State | MA
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Zip | 02180
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Country | US
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Telephone | 781-438-5995
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Fax | 781-279-1238
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. KENNETH J CAMEROTA
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Credential |
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Telephone | 781-331-3820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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