| NPI | 1740375708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER LEVINE Chief Financial Officer 617-735-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |