Gallery Eyecare
Organization Active NPI Optometrist · Foxborough, MA
NPI 1194134221 · NPPES record last updated Aug 2, 2014
Key facts
- NPI
- 1194134221
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- MA-TA 4734 (MA)
- Legal business name
- GALLERY EYECARE
- Practice address
- 92 Spruce St
Foxborough, MA 02035-2729 - Phone
- (617) 797-5981
- NPI assigned
- Aug 2, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Lesa Dennis-Mahamed, O.D.
- Title
- President/Ceo
- Phone
- (617) 797-5981
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | MA-TA 4734 | MA | Yes |
Addresses
Primary practice location
92 Spruce St
Foxborough, MA 02035-2729
Mailing address
92 Spruce St
Foxborough, MA 02035-2729
Phone (617) 797-5981
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110083858A | Medicaid | MA |
Other providers in Foxborough, MA
- Foxboro Dnetal Group LLC
- Maury Frieman
- Matthew Fuller
- Function Well Nutrition
- Casey Louise Gallagher
- Robert Edward Gaudet Jr.
- Gabriella Rose Ford Geiger
- Sarah Gibbons
- David Granito
- Anne Elizabeth Grossman
All providers in Foxborough, MA · Optometrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.