WEST SUBURBAN EYE SURGERY CENTER LLC (NPI# 1194275230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194275230 |
Entity Type | Organization |
Organization Name | WEST SUBURBAN EYE SURGERY CENTER LLC |
Other Organization Name | SURGISITE NORTH |
Practice Address |
321 Billerica Rd Chelmsford MA 01824-4169 |
Practice Telephone | 9786140510 |
Practice Fax Number | 7818919305 |
Mailing Telephone | 9786140510 |
Mailing Fax Number | 9786140511 |
Enumeration Date | 2016-10-13 |
Last Update Date | 2017-03-09 |
Authorized Official Name | DR. EVAN GOLD (MEDICAL DIRECTOR) |
Authorized Official Telephone | 7818919300 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
AIIY | MA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Surgisite North | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770537227 | West Suburban Eye Surgery Center LLC | Clinic/Center | 1440 Main St, Waltham, MA 02451-1623 | 2006-05-20 |
Street Address |
321 BILLERICA RD |
City | CHELMSFORD |
State | MA |
Zip Code | 01824-4169 |
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1013434513 | Sherry Ranjbar | Counselor | 13 Horseshoe Rd, Chelmsford, MA 01824 | 2017-08-24 |
1942666250 | Alyssa Paton | Nurse Practitioner | 4 Meeting House Rd Ste 1, Chelmsford, MA 01824 | 2016-01-04 |
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Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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1477655801 | Cataract and Laser Center Associates PC | Clinic/Center | 1 Berkshire Sq, Suite 110, Adams, MA 01220-1300 | 2006-09-05 |
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City | CHELMSFORD |
Zip Code | 01824 |
Please comment or provide details below to improve the information on WEST SUBURBAN EYE SURGERY CENTER LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.