| NPI | 1619665437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J ATCHUE Member 508-755-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |