NPI | 1033562574 |
---|---|
Doing Business As | GORAL COMMUNITY OPTICIAN |
Entity Type | Organization |
Authorized Contact | BRUCE GORAL President 508-791-9291 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MA 5269) |
Enumeration Date | 2016-07-20 |
Last Update Date | 2016-07-20 |