| NPI | 1679062335 |
|---|---|
| Doing Business As | CODMAN EYE CARE AFFILIATES SOUTH SHORE INC |
| Entity Type | Organization |
| Authorized Contact | ANDY HUYNH Managing Optometrist 781-963-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2020-03-11 |