Organization
EYECARE & EYEWEAR CENTER PC
Active
Other names
Madonna M. Santos, OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADONNA MARIA SANTOS O.D. (PRESIDENT)
(413) 789-7711
Entity
Organization
Contact information
Practice address
170 MAIN STREET, AGAWAM, MA 01001-1803
(413) 789-7711
(413) 789-1197
Mailing address
170 MAIN STREET, AGAWAM, MA 01001-1803
(413) 789-7711
(413) 789-1197
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3468
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9780602
—
MA
Enumeration date
02/19/2007
Last updated
03/27/2009
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