Provider Demographics
NPI:1871777565
Name:EYE CARE SPECIALISTS PC
Entity type:Organization
Organization Name:EYE CARE SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:TANNOUS
Authorized Official - Last Name:FRANGIEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD,FACS
Authorized Official - Phone:781-910-6210
Mailing Address - Street 1:825 WASHINGTON ST
Mailing Address - Street 2:GUILD MEDICAL BUILDING, SUITE 230
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3441
Mailing Address - Country:US
Mailing Address - Phone:781-769-8880
Mailing Address - Fax:781-769-2850
Practice Address - Street 1:825 WASHINGTON ST
Practice Address - Street 2:GUILD MEDICAL BUILDING, SUITE 230
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3441
Practice Address - Country:US
Practice Address - Phone:781-769-8880
Practice Address - Fax:781-769-2850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA58094152WC0802X
207W00000X, 207WX0009X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Multi-Specialty
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1629498290Medicaid
MA1659303113Medicaid
MA1386157576Medicaid
MA1649633215Medicaid
MA1982869988Medicaid
MA1003252297Medicaid
MA1689775710Medicaid