| NPI | 1619427705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY LEE GARRETT MALVONE Office Manager 978-658-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA MA3284) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2022-01-27 |