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General NPI Number Information
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NPI Number | 1891619391
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Entity Type | Organization
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Legal Business Name | RETINA CARE MASSACHUSETTS PLLC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 26 SURVEYORS LN
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City | VINEYARD HAVEN
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State | MA
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Zip | 02568-6369
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Country | US
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Telephone | 617-468-1741
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Fax |
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Provider Business Mailing Address
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Address Line | 109 HARVEY ST
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City | CAMBRIDGE
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State | MA
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Zip | 02140-1720
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WARD FICKWEILER
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Credential | MD, PHD
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Telephone | 857-285-1561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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