| NPI | 1811175862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A NIELSEN Owner 617-471-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: MA 78177) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |