NPI | 1437386166 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY JON SAJBAN President 508-280-2479 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA 3456) |
Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: MA 3456) |
Enumeration Date | 2009-06-21 |
Last Update Date | 2009-11-02 |