| |
2110 Dorchester Ave, Suite 100, Dorchester Center, MA 02124-5628 | |
(617) 298-5300 | |
(617) 296-3028 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 2110 Dorchester Ave, Dorchester Center, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1992991905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2110 Dorchester Ave, Suite 100, Dorchester Center, MA 02124-5628 Ph: (617) 298-5300 | 2110 Dorchester Ave, Suite 100, Dorchester Center, MA 02124-5628 Ph: (617) 298-5300 |