| |
90 Water Tower Pl, Leominster, MA 01453-2247 | |
(978) 248-1053 | |
(978) 990-7002 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 90 Water Tower Pl, Leominster, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902676547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
175 E Houston St, San Antonio, TX 78205-2299 Ph: (210) 524-6587 | 90 Water Tower Pl, Leominster, MA 01453-2247 Ph: (978) 248-1053 |