| Codman Eye Care Affiliates South Shore Inc | |
|
9 Warren St, Randolph, MA 02368 | |
| (781) 963-8448 | |
| (781) 963-5289 |
| Full Name | Codman Eye Care Affiliates South Shore Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9 Warren St, Randolph, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679062335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Denise K Snow Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710087788 PECOS PAC ID: 2062410079 Enrollment ID: I20061129000051 |
| Provider Name | Phuong T Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164855698 PECOS PAC ID: 5991933004 Enrollment ID: I20140117001654 |
| Provider Name | Andy Gabriel Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780065813 PECOS PAC ID: 6709190424 Enrollment ID: I20150812008380 |
| Mailing Address | Practice Location Address |
|---|---|
| Codman Eye Care Affiliates South Shore Inc 637 Washington Street, Administration, Dorchester, MA 02124-3510 Ph: (617) 825-9660 | Codman Eye Care Affiliates South Shore Inc 9 Warren St, Randolph, MA 02368 Ph: (781) 963-8448 |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27 Memorial Pkwy, Randolph, MA 02368 Phone: 781-986-7400 Fax: 781-986-5201 | |
Marvin Hertzel Pres Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1157 N Main St, Randolph, MA 02368 Phone: 781-963-2333 | |
Eyecare Etc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 304 N Main St, Randolph, MA 02368 Phone: 781-963-8448 Fax: 781-963-5289 | |
Matthew Philibin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 27 Memorial Pkwy, Randolph, MA 02368 Phone: 781-986-7400 Fax: 781-986-5201 | |
Eyecare Etc. Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9 Warren St Ste 1, Randolph, MA 02368 Phone: 781-963-8448 | |
Richard J Jamara, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12 Gallagher Dr, Randolph, MA 02368 Phone: 781-986-7558 Fax: 781-986-7558 | |
Marvin Hertzel, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1157 N Main St, Randolph, MA 02368 Phone: 781-963-2333 |