Organization Name:  BOSTON UNIVERSITY EYE ASSOCIATES, INC.


Practice Location:
2005 BAY ST STE 206  TAUNTON, MA 02780 US
Tel: 508-823-7473  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	152W00000X	Eye and Vision Services Providers Optometrist	MA	N/A
N	261QA1903X	Ambulatory Health Care Facilities Clinic/Center	MA	N/A
Y	207W00000X	Physicians Ophthalmology	MA	N/A

Other Provider Identifiers:

Issuer	Number	State	Type
TUFTS (FACILITY)	600685	MA	01
BCBS (FACILITY)	M88004	MA	01
TUFTS (PRACTICE)	615277	MA	01
BCBS (OPTOMETRY)	W20231	MA	01
AETNA	93923	MA	01
	9766162	MA	05
BCBS (MD'S)	M15401	MA	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin