| NPI | 1184166449 |
|---|---|
| Doing Business As | SCITUATE HARBOR VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE CROOKER Owner 781-545-0792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4949) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2017-01-25 |