MEDICARE: EYE HEALTH SERVICES,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	156FX1800X	Optician	5150
2	332H00000X	Eyewear Supplier

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	:	1942360615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE HEALTH SERVICES,INC.

Provider Business Mailing Address
First Line	:	1900 CROWN COLONY DRIVE
Second Line	:	STE 301
City	:	QUINCY
State	:	MA
Zip	:	02169-0931
Country	:	US
Telephone Number	:	617-472-5242
Fax Number	:	617-770-2975

Provider Business Practice Location Address
First Line	:	23 WHITES PATH
Second Line	:	A
City	:	SOUTH YARMOUTH
State	:	MA
Zip	:	02664-1221
Country	:	US
Telephone Number	:	508-398-6367
Fax Number	:	508-398-7440

Authorized Official
Title or Position	:	CLERK
Name	:	DR. PAUL J WASSON
Credential	:	M.D.
Telephone Number	:	617-472-5242

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	06/21/2013

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Directions to “EYE HEALTH SERVICES,INC. ” Practice Location

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