| NPI | 1659664035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELINA BASKIN Doctor Of Optometry 617-512-7949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTG00514) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2012-03-26 |