| NPI | 1366718462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SOARES Billing 508-679-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: MA 4744) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2018-10-19 |