Provider Demographics
NPI:1548530421
Name:NEWTON EYE CARE, LLC
Entity type:Organization
Organization Name:NEWTON EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QIAOMEI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-721-1938
Mailing Address - Street 1:31 ANAWAN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-1237
Mailing Address - Country:US
Mailing Address - Phone:617-721-1938
Mailing Address - Fax:617-323-1419
Practice Address - Street 1:1157 WALNUT ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02461-1242
Practice Address - Country:US
Practice Address - Phone:617-721-1938
Practice Address - Fax:617-323-1419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty