| NPI | 1033819818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KILPATRICK Credentialing Specialist 781-862-1620 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |