| NPI | 1629252143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE A. CUSNER President 781-821-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MA 3025) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 3025) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2015-08-19 |