Provider Demographics
NPI:1386615193
Name:MEDICAL EYE CARE ASSOCIATES, P.C.
Entity type:Organization
Organization Name:MEDICAL EYE CARE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VIOLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-255-8336
Mailing Address - Street 1:95 CHAPEL ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3155
Mailing Address - Country:US
Mailing Address - Phone:781-762-9018
Mailing Address - Fax:781-762-0118
Practice Address - Street 1:95 CHAPEL ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3155
Practice Address - Country:US
Practice Address - Phone:781-762-9018
Practice Address - Fax:781-762-0118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9745211Medicaid
MAM14101Medicare ID - Type UnspecifiedGROUP NUMBER PHYSICIANS
1116090001Medicare NSC
MAW21004Medicare ID - Type UnspecifiedGROUP NUMBER OPTOMETRISTS