| NPI | 1124426937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD S. ZIDE Dr 617-542-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 2670TP) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MA 2670TP) |
| 152WS0006X Optometrist, Sports Vision (Licence: MA 2670TP) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: MA 2670TP) | |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |