| NPI | 1104377621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY B WESTERFELD Chief Medical Officer 508-994-1400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology | |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2020-03-05 |