| NPI | 1124207816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE MACDONALD Optician 781-843-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA 2023) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |