| NPI | 1154317865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P. CHRISTIANSEN Chairman 617-414-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA N/A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA N/A) |
| 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA N/A) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2018-09-25 |