NPI | 1790226538 |
---|---|
Doing Business As | VIZIO OPTIC |
Entity Type | Organization |
Authorized Contact | STEPHEN KOLNIK OD Owner 617-243-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA 3433) |
Enumeration Date | 2017-03-13 |
Last Update Date | 2017-03-13 |