| NPI | 1144720301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E KEENAN Owner/Operator/O PT Ician 617-391-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MA 4786) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |