| NPI | 1285691337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P CHRISTIANSEN Chairman 508-823-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-10-23 |