| NPI | 1700849593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN F SULLIVAN Owner/ Physician 508-994-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2009-02-24 |