NPI | 1508179789 |
---|---|
Doing Business As | CUSTOM EYECARE |
Entity Type | Organization |
Authorized Contact | JOHN M BONA President 781-592-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA 3656) |
Enumeration Date | 2010-07-16 |
Last Update Date | 2010-07-16 |