Andover Eye Associates, Inc

Organization Active NPI Ophthalmology Physician · Andover, MA

NPI 1609208289 · NPPES record last updated Aug 6, 2013

Key facts

NPI
1609208289
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmology Physician 207W00000X
License
37429 (MA)
Legal business name
ANDOVER EYE ASSOCIATES, INC
Practice address
138 Haverhill St
Suite 104
Andover, MA 01810-1509
Phone
(978) 475-0705
Fax
(978) 475-0008
NPI assigned
Aug 6, 2013
Organization subpart
No

Authorized official

Name
Janet E Bonzagni
Title
Practice Manager
Phone
(978) 475-0705

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Andover Eye Asociates (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207W00000X 37429 MA Yes

Addresses

Primary practice location

138 Haverhill St
Suite 104
Andover, MA 01810-1509

Mailing address

138 Haverhill St
Suite 104
Andover, MA 01810-1509
Phone (978) 475-0705

Other providers in Andover, MA

All providers in Andover, MA · Ophthalmology Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.