| NPI | 1336302900 |
|---|---|
| Other Name | JIM GORDON OPTICIANS |
| Entity Type | Organization |
| Authorized Contact | ANITA FRESOLO Billing Coordinator 508-853-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |