| NPI | 1184819518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN K MCLOUGHLIN Owner 978-465-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4245) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 4411) |
| 152W00000X Optometrist (Licence: MA 3780) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |