| NPI | 1992740302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED ORLANDO Vice President 413-445-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2012-12-18 |