| Organization Name: | EYE HEALTH SERVICES, INC. |
| NPI Number: | 1225277361 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL J WASSON (CLERK) |
| Mailing Address: | 2110 Dorchester Ave Ste 100 Dorchester Center |
| State: | MA US |
| Postal Code: | 021245628 |
| Phone Number: | 6172985300 |
| Fax Number: | 6172963028 |
| NPI Enumeration Date: | 02/12/2009 |
| NPI Last Update Date: | 06/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |