Organization
PV KINGSTON
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK PENDER (MANAGER)
(508) 585-1668
Entity
Organization
Contact information
Practice address
101 INDEPENDENCE MALL WAY, KINGSTON, MA 02364-3048
(781) 585-1668
Mailing address
101 INDEPENDENCE MALL WAY, KINGSTON, MA 02364-3048
(781) 585-1668
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4029
MA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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