| NPI | 1194881961 |
|---|---|
| Other Name | PAUL S & D PATRICIA KOCH |
| Entity Type | Organization |
| Authorized Contact | COREY B WESTERFELD Chief Medical Officer 508-994-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2023-06-26 |