Provider Demographics
NPI:1447325857
Name:POST OCONNOR & KADRMAS EYE CENTERS P C
Entity type:Organization
Organization Name:POST OCONNOR & KADRMAS EYE CENTERS P C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-746-8600
Mailing Address - Street 1:40 INDUSTRIAL PARK RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4884
Mailing Address - Country:US
Mailing Address - Phone:508-746-8600
Mailing Address - Fax:
Practice Address - Street 1:40 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4884
Practice Address - Country:US
Practice Address - Phone:508-746-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9777237Medicaid
MAM16278OtherBC/BS
S027792OtherCHAMPUS/TRICARE
555944OtherAETNA
608301OtherTUFTS
CA2787OtherRAILROAD MEDICARE
810473737OtherPRIVATE HEALTHCARE SYSTEM
555944OtherAETNA