WEST SUBURBAN EYE SURGERY CENTER LLC


Address: 321 Billerica Rd, Chelmsford, MA 01824-4169
Phone: 9786140510

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
AIIY MA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Surgisite North Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770537227 West Suburban Eye Surgery Center LLC Clinic/Center 1440 Main St, Waltham, MA 02451-1623 2006-05-20

Office Location

Street Address 321 BILLERICA RD
City CHELMSFORD
State MA
Zip Code 01824-4169

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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Competitor

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City CHELMSFORD
Zip Code 01824

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Dataset Information

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.

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