# MONOPLEX EYE PROSTHETICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609046580
- **Authorized official:** MR. PETER J KAZANOVICZ B.C.O. (BOARD CERTIFIED OCULARIST)
- **Authorized official phone:** (508) 347-3818

## Contact information

- **Practice address:** 54 MAIN ST, STURBRIDGE, MA 01566-1281
- **Practice address phone:** (508) 347-3818
- **Practice address fax:** (508) 347-8285
- **Mailing address:** 169 S RIVER RD, SUITE 14A, BEDFORD, NH 03110-6971
- **Mailing address phone:** (603) 622-5200
- **Mailing address fax:** (603) 644-2354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 06/01/2009
