| NPI | 1205024692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DIANNE HARTZELL President And Owner 508-801-5833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101239520) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |