NPI | 1134357379 |
---|---|
Entity Type | Organization |
Authorized Contact | VIKTORIYA VILKOMIR President 617-243-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4718) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MA 4718) |
Enumeration Date | 2009-06-25 |
Last Update Date | 2009-06-25 |