| NPI | 1568534246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY B WESTERFELD Chief Medical Officer 508-994-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI OD299) |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: RI OD299) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-07-10 |