Provider Demographics
NPI:1154542876
Name:ADVANCED FAMILY EYECARE LIMITED
Entity type:Organization
Organization Name:ADVANCED FAMILY EYECARE LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:978-682-5656
Mailing Address - Street 1:50 HAVERHILL ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-4204
Mailing Address - Country:US
Mailing Address - Phone:978-682-5656
Mailing Address - Fax:978-685-7959
Practice Address - Street 1:50 HAVERHILL ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-4204
Practice Address - Country:US
Practice Address - Phone:978-682-5656
Practice Address - Fax:978-685-7959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0033290OtherNEIGHBORHOOD HEALTH PLAN
MA9733990Medicaid
W20373OtherBLUE CROSS BLUE SHIELD
W20373OtherBLUE CROSS BLUE SHIELD