NPI | 1558577650 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN M. GASIOROWSKI Owner 978-465-8761 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA MA3623) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MA 3623) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2022-07-21 |