MEDICARE: DRS. LAGER & SHUMAN, 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	152W00000X	Optometrist	2177	MA

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
2	W20061	OTHER	MA	BCBSMA

General Provider Information

NPI Number	:	1407916794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS. LAGER & SHUMAN, INC.

Provider Business Mailing Address
First Line	:	200 WALNUT ST
Second Line	:
City	:	SAUGUS
State	:	MA
Zip	:	01906-1158
Country	:	US
Telephone Number	:	781-233-5544
Fax Number	:	781-231-9634

Provider Business Practice Location Address
First Line	:	200 WALNUT ST
Second Line	:
City	:	SAUGUS
State	:	MA
Zip	:	01906-1158
Country	:	US
Telephone Number	:	781-233-5544
Fax Number	:	781-231-9634

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARTIN L SHUMAN
Credential	:	O.D.
Telephone Number	:	781-233-5544

Provider Enumeration Date	:	12/09/2006
Last Update Date	:	11/27/2007

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