NPI | 1790700946 |
---|---|
Former Legal Business Name | BAY STATE EYE CARE, PC |
Entity Type | Organization |
Authorized Contact | TIMOTHY T LYNCH President 774-279-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4162) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2024-05-16 |