| |
193 Boston Tpke Ste 3150, Shrewsbury, MA 01545-2553 | |
(508) 755-4705 | |
(508) 753-1461 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 193 Boston Tpke Ste 3150, Shrewsbury, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083112981 | 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: (800) 349-5120 | 193 Boston Tpke Ste 3150, Shrewsbury, MA 01545-2553 Ph: (508) 755-4705 |