Organization
CLEAR VISION, LLC
Active
Other names
Cohen's Fashion Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL GRACE (DR/OWNER)
(617) 542-9221
Entity
Organization
Contact information
Practice address
328 WASHINGTON ST, BOSTON, MA 02109
(617) 542-9221
(617) 542-9216
Mailing address
328 WASHINGTON ST, BOSTON, MA 02109
(617) 542-9221
(617) 542-9216
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
MA4558
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0719528
—
MA
Enumeration date
11/18/2010
Last updated
11/18/2010
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