| 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 |