NPI | 1922552157 |
---|---|
Doing Business As | GORAL COMMUNITY OPTICIAN |
Entity Type | Organization |
Authorized Contact | BRUCE GORAL President 508-791-9291 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA 5269) |
Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens (Licence: MA 5269) |
156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: MA 5269) | |
Enumeration Date | 2016-08-04 |
Last Update Date | 2016-08-04 |