Matthew C Leidl (NPI# 1023377306, PAC ID# 4587955828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1023377306 |
| PAC ID by PECOS | 4587955828 |
| Professional Enrollment ID | I20170822003163 |
| Full Name | Matthew C Leidl |
| Organization Legal Name | BOSTON UNIVERSITY EYE ASSOCIATES INC |
| Address |
2005 Bay St Suite 206 Taunton MA 02780-1085 |
| Phone Number | 5088237473 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4789571225 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220031 | BOSTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 850 Harrison Ave, Boston, MA 02118-4001 | 6174144020 | BOSTON UNIVERSITY EYE ASSOCIATES INC |
| 2005 Bay St, Suite 206, Taunton, MA 02780-1085 | 5088237473 | BOSTON UNIVERSITY EYE ASSOCIATES INC |
| Organization Legal Name | BOSTON UNIVERSITY EYE ASSOCIATES INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Babak Eliassi Rad | Ophthalmology | Boston University Eye Associates Inc | 850 Harrison Ave, Boston, MA 02118-4001 |
| Manju L Subramanian | Ophthalmology | Boston University Eye Associates Inc | 22 Christy Dr, Brockton, MA 02301-1839 |
| Xuejing Chen | Ophthalmology | Boston University Eye Associates Inc | 850 Harrison Ave, Boston, MA 02118-4001 |
| Tony N Pira | Ophthalmology | Boston University Eye Associates Inc | 850 Harrison Ave, Boston, MA 02118-4001 |
| Stephen P Christiansen | Ophthalmology | Boston University Eye Associates Inc | 850 Harrison Ave, Boston, MA 02118-4001 |
| Deborah I Lee | Optometry | Boston University Eye Associates Inc | 850 Harrison Ave, Boston, MA 02118-4001 |
| Jean E Ramsey | Ophthalmology | Boston University Eye Associates Inc | 850 Harrison Ave, Boston, MA 02118-4001 |
| Celine Saade | Ophthalmology | Boston University Eye Associates Inc | 2005 Bay St, Suite 206, Taunton, MA 02780-1085 |
| Alicia M Donahue | Optometry | Boston University Eye Associates Inc | 2005 Bay St, Suite 206, Taunton, MA 02780-1085 |
| Hyunjoo J Lee | Ophthalmology | Boston University Eye Associates Inc | 850 Harrison Ave, Boston, MA 02118-4001 |
| Street Address |
2005 BAY ST SUITE 206 |
| City | TAUNTON |
| State | MA |
| Zip | 02780-1085 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence C Cobrin | Podiatry | Rhode Island Foot Care, Inc | 2005 Bay St, Suite 202, Taunton, MA 02780-1085 |
| Celine Saade | Ophthalmology | Boston University Eye Associates Inc | 2005 Bay St, Suite 206, Taunton, MA 02780-1085 |
| Alicia M Donahue | Optometry | Boston University Eye Associates Inc | 2005 Bay St, Suite 206, Taunton, MA 02780-1085 |
| Lindsey M Mcdaniel | Ophthalmology | Boston University Eye Associates Inc | 2005 Bay St, Suite 206, Taunton, MA 02780-1085 |
| Douglas J Glod | Podiatry | Rhode Island Foot Care, Inc | 2005 Bay St, Suite 202, Taunton, MA 02780-1085 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole M Leger | Nurse Practitioner | Steward Medical Group Inc | Smg Mill River Internal Medicine, 1 Washington Street Mill Rver Place Suite A, Taunton, MA 02780 |
| Ann L Potter | Psychiatry | Steward Medical Group Inc | Smg Infectious Disease Associates, 72 Washington Street Suite 2200, Taunton, MA 02780 |
| Daniel J Levin | Anesthesiology | Steward Medical Group Inc | Smg Mill River Internal Medicine, 1 Washington Street Mill Rver Place Suite A, Taunton, MA 02780 |
| Glen B Wheeler | Obstetrics/gynecology | 2007 Bay St, Suite 104, Taunton, MA 02780-1086 | |
| Linda M Marot | Clinical Social Worker | 289 W Britannia St, Taunton, MA 02780-1635 | |
| Robert J Marek | Clinical Social Worker | 20 King Ave, Taunton, MA 02780-1947 | |
| Kwende Smith | Podiatry | 87 Washington St, Taunton, MA 02780-2429 | |
| Kabir J Chuttani | Internal Medicine | Steward Medical Group Inc | 88 Washington St, Taunton, MA 02780-2465 |
| Mohender Singh Maan | Internal Medicine | Sound Physicians of Massachusetts Inc | 88 Washington St, Taunton, MA 02780-2465 |
| Kristen L Hall | Physician Assistant | Steward Medical Group Inc | 88 Washington St, Taunton, MA 02780-2465 |
| Find all physicians in zip 02780 | |||
| City | TAUNTON |
| Zip Code | 02780 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | TAUNTON + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.