| 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 |