| NPI | 1689902314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SIKALIS Manager/Optometrist 978-452-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 3120) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MA 2881) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MA 3863) | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |