| NPI | 1073884326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R TRAINOR Optician 508-634-3596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA 4966) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |