| NPI | 1528257920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN OBRIEN President 508-677-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2009-10-15 |