| NPI | 1861883571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L AUDYCKI President 508-207-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4182) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: MA 4134) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-03-14 |