Provider Demographics
NPI:1386973154
Name:ORLEN EYE CARE
Entity type:Organization
Organization Name:ORLEN EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ORLEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:413-532-2700
Mailing Address - Street 1:50 HOLYOKE ST # 10366
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2709
Mailing Address - Country:US
Mailing Address - Phone:413-532-2700
Mailing Address - Fax:
Practice Address - Street 1:50 HOLYOKE STREET
Practice Address - Street 2:# 10366
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2709
Practice Address - Country:US
Practice Address - Phone:413-532-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4776152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty