| NPI | 1992748370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAILENN TSAO Owner 781-729-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: MA 159572) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-09-28 |