| NPI | 1396933826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY WALTER IRACA President 781-391-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 3432) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MA 3432) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |