Organization
LIVING CLEARLY OPTOMETRY
Active
Other names
Dr. Tara L. Sullivan, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA LEANNE SULLIVAN O.D. (OWNER & OPTOMETRIST)
(781) 270-7499
Entity
Organization
Contact information
Practice address
74 BURLINGTON MALL ROAD, BURLINGTON, MA 01803
(781) 272-5620
Mailing address
15 NEW ENGLAND EXECUTIVE PARK, BURLINGTON, MA 01803-5202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5072
MA
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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