NPI | 1689701096 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT A LYTLE President 508-771-6447 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 54395) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MA 2579) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2011-09-20 |