| NPI | 1194134221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA DENNIS-MAHAMED President/CEO 617-797-5981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA MA-TA 4734) |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2014-08-02 |