| Organization Name: | CATARACT & LASER CENTER WEST, LLC |
| NPI Number: | 1114091501 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | C MICHAEL DUCA (ADMINISTRATOR) |
| Mailing Address: | 171 Interstate Dr Suite #1 West Springfield |
| State: | MA US |
| Postal Code: | 010895101 |
| Phone Number: | 4137375500 |
| Fax Number: | 4137323514 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 01/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | AJ4C |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |