| NPI | 1568546968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ERWIN LEVINE Co Owner 508-481-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4028) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 3407) |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: MA 4028) | |
| 152WV0400X Optometrist Vision Therapy (Licence: MA 3407) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |