Provider Demographics
NPI:1902911563
Name:CENTER FOR EYE HEALTH INC
Entity Type:Organization
Organization Name:CENTER FOR EYE HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGIST/PRESIDENT OF GROUP
Authorized Official - Prefix:
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-676-3411
Mailing Address - Street 1:ONE PEARL STREET
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301
Mailing Address - Country:US
Mailing Address - Phone:508-584-2100
Mailing Address - Fax:508-584-6633
Practice Address - Street 1:ONE PEARL STREET
Practice Address - Street 2:SUITE 1100
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:508-584-2100
Practice Address - Fax:508-584-6633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9772693Medicaid
MAM15445OtherBCBS
=========OtherPRIVATE INSURANCES
MAM15445OtherBCBS