| NPI | 1659640969 |
|---|---|
| Former Legal Business Name | LINDA BENNETT, O.D. |
| Entity Type | Organization |
| Authorized Contact | REBECCA BENNETT MAIDA Optometrist 617-484-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4679) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 2870) |
| 152W00000X Optometrist (Licence: MA 4405) | |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-27 |