NPI | 1275047011 |
---|---|
Doing Business As | BASS RIVER OPTOMETRICS |
Entity Type | Organization |
Authorized Contact | PAIGE BAUER BARRETT President 508-240-0898 |
Organization Subpart ? | Yes |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2017-11-30 |
Last Update Date | 2023-04-13 |