| NPI | 1235312729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLANN MARIE SPERANZO Owner 617-773-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 1701) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: MA 1701) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-06-16 |