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Organization
PREMIER OPTICAL INC.
Active
Organization
PREMIER OPTICAL INC.
Active
Other names
Fashion Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ANDRE QUAMINA M.D. (PRESIDENT)
(617) 266-1185
Entity
Organization
Contact information
Practice address
183 MASSACHUSETTS AVE, BOSTON, MA 02115-3009
(617) 266-1185
(617) 262-6301
Mailing address
183 MASSACHUSETTS AVE, BOSTON, MA 02115-3009
(617) 266-1185
(617) 262-6301
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
5174
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040194
NEIGHBORHOOD HEALTH PLAN
MA
05
—
9787534
—
MA
Enumeration date
05/09/2007
Last updated
08/22/2020
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