NPI 1235688557

Cambridge Eye Group INC

Organisation Optometrist Cambridge, MA

Practice location

Address: 603 Concord Ave Suite B, Cambridge, MA 02138-1197
Phone: (617) 818-0476
Mailing address: 169 Monsignor Obrien Hwy 415, Cambridge, MA 02141-1289

Authorised official

Name: Jacky Kong
Title: President
Phone: (617) 818-0476

Registered specialties (5)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4689 (MA)

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Eye and Vision Services Providers Taxonomy 152WC0802X Licence 4687 (MA)

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Eye and Vision Services Providers Taxonomy 152WP0200X Licence 4689 (MA)

Sports Vision Optometrist

Eye and Vision Services Providers Taxonomy 152WS0006X Licence 4689 (MA)

Vision Therapy Optometrist

Eye and Vision Services Providers Taxonomy 152WV0400X Licence 4689 (MA)

Registry record

NPI: 1235688557
Entity type: Organization
NPI issued: 27 Sep 2016
Record last updated: 27 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.