Provider Demographics
NPI:1063908960
Name:FOLEY VISION CENTER LLC
Entity type:Organization
Organization Name:FOLEY VISION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:978-943-2261
Mailing Address - Street 1:77 MACY ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-4127
Mailing Address - Country:US
Mailing Address - Phone:978-792-4400
Mailing Address - Fax:978-378-3385
Practice Address - Street 1:77 MACY ST STE 3B
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-4127
Practice Address - Country:US
Practice Address - Phone:978-792-4400
Practice Address - Fax:978-378-3385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-03
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty