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Organization

I.C.U. INC.

Active
Other names
Parrelli Optical
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD JAFFE OPTICIAN (OWNER OF STORE)
(617) 327-0141
Entity
Organization

Contact information

Practice address
2034 CENTRE ST, W ROXBURY, MA 02132
(617) 327-0141
(617) 327-0177
Mailing address
2034 CENTRE ST, W ROXBURY, MA 02132
(617) 327-0141
(617) 327-0177

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
MA

Other

Enumeration date
08/05/2007
Last updated
07/21/2022
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