| Organization Name: | CAPE COD EYE SURGERY & LASER CENTER, LLC |
| NPI Number: | 1033213269 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JONATHAN HERLINY (CHIEF OPERATING OFFICER) |
| Mailing Address: | 282 Route 130 Sandwich |
| State: | MA US |
| Postal Code: | 02563 |
| Phone Number: | 5088338222 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2006 |
| NPI Last Update Date: | 04/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |