NPI | 1255536611 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS F. LAVIN President 508-757-3442 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MA 1313) |
Enumeration Date | 2007-06-17 |
Last Update Date | 2007-10-27 |