| NPI | 1740465319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIAQI TAO CFO 617-288-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |