| North Suburban Eye Associates Pc | |
|
669 Main St, Wakefield, MA 01880-5200 | |
| (781) 245-5200 | |
| Not Available |
| Full Name | North Suburban Eye Associates Pc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 669 Main St, Wakefield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942351994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Rodney L Immerman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528055068 PECOS PAC ID: 1052302387 Enrollment ID: I20040524001014 |
| Provider Name | Charles Barsam |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760470041 PECOS PAC ID: 4688667900 Enrollment ID: I20040727001285 |
| Provider Name | Ula Jurkunas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386634699 PECOS PAC ID: 9638146665 Enrollment ID: I20040910000450 |
| Provider Name | Neil D Gross |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457401572 PECOS PAC ID: 3072552454 Enrollment ID: I20050426000363 |
| Provider Name | Peter L Lou |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316937709 PECOS PAC ID: 9739129578 Enrollment ID: I20050511000118 |
| Provider Name | Charles D Evans |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982655643 PECOS PAC ID: 5294777421 Enrollment ID: I20050526000827 |
| Provider Name | Maura L Trail Obrien |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093741530 PECOS PAC ID: 7012925175 Enrollment ID: I20071204000103 |
| Provider Name | Kimberly J Mooney Mcnulty |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588616775 PECOS PAC ID: 7618046863 Enrollment ID: I20080814000255 |
| Provider Name | Edward F Mccarthy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275681132 PECOS PAC ID: 2163583428 Enrollment ID: I20081204000482 |
| Provider Name | Rita A Cherian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336300235 PECOS PAC ID: 7113073487 Enrollment ID: I20090929000238 |
| Provider Name | Andre J Witkin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285811216 PECOS PAC ID: 3173656097 Enrollment ID: I20120905000724 |
| Provider Name | Shilpa Desai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104112879 PECOS PAC ID: 4082935051 Enrollment ID: I20150602001870 |
| Provider Name | Andrea C Farber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073949061 PECOS PAC ID: 5092025023 Enrollment ID: I20151104000122 |
| Provider Name | Michael R Bivona |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508363540 PECOS PAC ID: 6406109818 Enrollment ID: I20230927001093 |
| Mailing Address | Practice Location Address |
|---|---|
| North Suburban Eye Associates Pc 669 Main St, Wakefield, MA 01880-5200 Ph: (781) 245-5200 | North Suburban Eye Associates Pc 669 Main St, Wakefield, MA 01880-5200 Ph: (781) 245-5200 |