Provider Demographics
NPI:1457063869
Name:GOLEBIOWSKI EYE CARE LLC
Entity type:Organization
Organization Name:GOLEBIOWSKI EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLEBIOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-705-2888
Mailing Address - Street 1:179 GREAT RD STE 111A
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-5740
Mailing Address - Country:US
Mailing Address - Phone:978-705-2888
Mailing Address - Fax:
Practice Address - Street 1:179 GREAT RD STE 111A
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-5740
Practice Address - Country:US
Practice Address - Phone:978-705-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty