NPI | 1225277361 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL J WASSON Clerk 617-472-5242 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MA 6130) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2009-02-12 |
Last Update Date | 2013-06-21 |