NPI | 1043429954 |
---|---|
Former Legal Business Name | GILLIES & ASWAD EYE CARE, PC |
Entity Type | Organization |
Authorized Contact | ANDREW J GILLIES President 781-251-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 55237) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MA 3550) |
332H00000X Eyewear Supplier (Equipment, not the service) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2011-01-31 |