MEDICARE: CATARACT & LASER CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205917101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATARACT & LASER CENTER, INC.

Provider Business Mailing Address
First Line	:	333 ELM ST
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02026-4530
Country	:	US
Telephone Number	:	781-326-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 ELM ST
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02026-4530
Country	:	US
Telephone Number	:	781-326-3800
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JOHN DUNNE
Credential	:
Telephone Number	:	781-326-3800

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	01/16/2013

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