| NPI | 1033562574 |
|---|---|
| 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 |