| NPI | 1609046580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J KAZANOVICZ Board Certified Ocularist 508-347-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2009-06-01 |