Provider Demographics
NPI:1144651191
Name:POST OCONNOR KADRMAS EYE CENTER
Entity type:Organization
Organization Name:POST OCONNOR KADRMAS EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING REP
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:VARMETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-746-8600
Mailing Address - Street 1:40 INDUSTRIAL PARK RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4884
Mailing Address - Country:US
Mailing Address - Phone:508-746-8600
Mailing Address - Fax:508-747-0824
Practice Address - Street 1:40 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4884
Practice Address - Country:US
Practice Address - Phone:508-746-8600
Practice Address - Fax:508-747-0824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA043292632156FX1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmicGroup - Single Specialty