NPI | 1689870602 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA FAVREAU Office Manager 617-742-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA 2665) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MA 2352) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2020-08-22 |