| NPI | 1740232743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J HORAN Optician 508-995-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA 124350) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |