| NPI | 1861625717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARTIROS Office Manager 508-653-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 157261) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |