| NPI | 1861544041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN PARRELLI Owner/President 978-777-0379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MA 156FX1800X) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: MA 332H00000X) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-02-24 |