| NPI | 1063791994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED ORLANDO Vice President 413-445-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |