| NPI | 1023077757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN CARTER Billing Manger 781-726-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MA 4412) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 27372) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-02-13 |