| NPI | 1730397761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA STREMINSKY Manager 617-542-9221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA 4774) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |