| NPI | 1336319904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWIN HEARD Owner 508-255-6394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA MA1749) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-06-20 |