| NPI | 1962422741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL N CARMODY Md 617-964-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-11-05 |