| NPI | 1538614367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR MELKI Owner 617-566-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |