| NPI | 1669062113 |
|---|---|
| Doing Business As | KENMORE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | SUSAN O'SHEA Owner O PT Ometrist 508-380-8966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |