Provider Demographics
NPI:1386809978
Name:THE CATARACT SURGERY CENTER OF MILFORD, INC.
Entity type:Organization
Organization Name:THE CATARACT SURGERY CENTER OF MILFORD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:GOODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-381-5600
Mailing Address - Street 1:145 WEST ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2226
Mailing Address - Country:US
Mailing Address - Phone:508-381-5600
Mailing Address - Fax:508-381-5610
Practice Address - Street 1:145 WEST ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2226
Practice Address - Country:US
Practice Address - Phone:508-381-5600
Practice Address - Fax:508-381-5610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0802000OtherUNITED HEALTH CARE
MA260645939OtherMULTIPLAN
MA59494OtherDAVIS VISION EYE EXAM
MA97627805OtherNETWORK HEALTH
MA1043218159OtherFALLON
MA9708341Medicaid
700730OtherTUFTS
MAC20273OtherBLUE CROSS BLUE SHIELD
MA0041608OtherCIGNA
MA0802000OtherEVERCARE
MA1536374OtherFOCUS
MA260645939OtherNORTH AMERICAN PREFFERED
MA1043218159OtherTRICARE
MA15872OtherHARVARD PILGRIM HEALTH CARE
MA204465OtherDAVIS VISION LASERS
MA00000280OtherNEIGHBORHOOD HEALTH CARE
MA260645939OtherGREAT WEST HEALTH CARE
1043218159OtherUNICARE
MA4263773OtherAETNA
MA15872OtherHARVARD PILGRIM HEALTH CARE