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Organization
FOR EYES OPTICAL OF PA
Active
Organization
FOR EYES OPTICAL OF PA
Active
Other names
For Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY MARTIN (VP)
(305) 557-9004
Entity
Organization
Contact information
Practice address
222 NEWBURY ST, BOSTON, MA 02115-2564
(617) 536-4896
Mailing address
285 W 74TH PL, HIALEAH, FL 33014-5058
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1336
MA
Other
Enumeration date
02/27/2007
Last updated
01/15/2009
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