| NPI | 1174732127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JOSEPH BOURQUE Eyeglass Czar 978-369-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA 5767) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-08-08 |