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Organization
IN STYLE OPTICAL
Active
Organization
IN STYLE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELVISI MENA (BUSINESS MANAGER)
(508) 453-8846
Entity
Organization
Contact information
Practice address
666 LINCOLN ST, WORCESTER, MA 01605-2011
(508) 453-8846
(508) 453-8832
Mailing address
666 LINCOLN ST, WORCESTER, MA 01605-2011
(508) 453-8846
(508) 453-8832
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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