| Baystate Eye Associates Of Leominster Inc | |
| 
					25 Sack Blvd, Leominster, MA 01453-3325  | |
| (978) 537-2270 | |
| (978) 534-3478 | 
| Full Name | Baystate Eye Associates Of Leominster Inc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 25 Sack Blvd, Leominster, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558475053 | NPI | - | NPPES | 
| 9745564 | Medicaid | MA | |
| 99828201 | Other | MA | NETHEALTH | 
| 110067924/B | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 2384 (Massachusetts) | Primary | 
| Provider Name | David I Kahan | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1558473595 PECOS PAC ID: 8820190374 Enrollment ID: I20070301000279  | 
| Provider Name | James Freedman | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1508970013 PECOS PAC ID: 5294813077 Enrollment ID: I20080418000387  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Baystate Eye Associates Of Leominster Inc 25 Sack Blvd, Leominster, MA 01453-3325 Ph: (508) 837-3790  | Baystate Eye Associates Of Leominster Inc 25 Sack Blvd, Leominster, MA 01453-3325 Ph: (978) 537-2270  | 
Thomas Maher, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 865 Merriam Ave, Suite 121, Leominster, MA 01453 Phone: 978-537-6045 Fax: 978-534-9845  | |
Leominster Optometric Associates, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23 Mill St, Leominster, MA 01453 Phone: 978-537-5546 Fax: 978-537-9998  | |
Dr. Joel E Abraham, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 59 N Main St, Leominster, MA 01453 Phone: 978-537-6324 Fax: 978-537-0804  | |
Visionary Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 875 Merriam Ave, Suite 135, Leominster, MA 01453 Phone: 978-537-0202 Fax: 978-537-0303  | |
Henry Richard Valentine, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 80 Erdman Way, 205, Leominster, MA 01453 Phone: 978-696-5674 Fax: 978-400-7836  | |
Dr. Mark S. Fontaine Optometrist Medicare: Not Enrolled in Medicare Practice Location: 59 N Main St, Leominster, MA 01453 Phone: 978-537-6324  | |
Christian Iyore Inc Optometrist Medicare: Medicare Enrolled Practice Location: 80 Erdman Way # 205, Leominster, MA 01453 Phone: 978-696-5674  |