NPI | 1740603919 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH PETER BOUVIER Owner 413-783-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 226532) |
207W00000X Ophthalmology | |
Enumeration Date | 2014-01-24 |
Last Update Date | 2022-10-05 |