MEDICARE: BOSTON EYE ASSOCIATES, P.C.

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	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M13378	OTHER	MA	BCBS
2	15456	OTHER	MA	HPHC
3	705335	OTHER	MA	TUFTS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649239302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOSTON EYE ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	464 HILLSIDE AVE
Second Line	:	SUITE 205
City	:	NEEDHAM
State	:	MA
Zip	:	02494-1227
Country	:	US
Telephone Number	:	781-726-7337
Fax Number	:	781-726-7310

Provider Business Practice Location Address
First Line	:	464 HILLSIDE AVE
Second Line	:	SUITE 205
City	:	NEEDHAM
State	:	MA
Zip	:	02494-1227
Country	:	US
Telephone Number	:	781-726-7337
Fax Number	:	781-726-7310

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PERRY ROSENTHAL
Credential	:	M.D.
Telephone Number	:	781-726-7337

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	08/22/2020

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Directions to “BOSTON EYE ASSOCIATES, P.C. ” Practice Location

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