| Organization Name: | NORTH SHORE CATARACT & LASER CENTER, LLC |
| NPI Number: | 1144287350 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH J CAMEROTA (ADMINISTRATOR) |
| Mailing Address: | 91 Montvale Ave Stoneham |
| State: | MA US |
| Postal Code: | 02180 |
| Phone Number: | 7814385995 |
| Fax Number: | 7812791238 |
| NPI Enumeration Date: | 05/01/2006 |
| NPI Last Update Date: | 12/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS0132X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ophthalmologic Surgery |
| Taxonomy Definition: | |