| Enian Kallamata, OD, MS | |
|
63 Station Lndg, Medford, MA 02155-5192 | |
| (781) 393-5367 | |
| (617) 453-5757 |
| Full Name | Enian Kallamata |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 5 Years |
| Location | 63 Station Lndg, Medford, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700498672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5418 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| All Eye Care At Davis Inc | 0143545160 | 3 |
| Provider Name | All Eye Care At Davis Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700216090 PECOS PAC ID: 0143545160 Enrollment ID: O20150216001667 |
| Mailing Address | Practice Location Address |
|---|---|
| Enian Kallamata, OD, MS 5 Blue Jay Cir, Boston, MA 02126-1994 Ph: (857) 492-6188 | Enian Kallamata, OD, MS 63 Station Lndg, Medford, MA 02155-5192 Ph: (781) 393-5367 |
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