| NPI | 1720410558 |
|---|---|
| Doing Business As | FASHION OPTIQUE |
| Entity Type | Organization |
| Authorized Contact | DARRYL GRACE Owner 617-262-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA MA4558) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: MA MA4558) |
| Enumeration Date | 2013-08-03 |
| Last Update Date | 2013-08-03 |