Organization
FOR EYES OPTICAL OF PA
Active
Other names
For Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY MARTIN (VP)
(305) 557-9004
Entity
Organization
Contact information
Practice address
222 NEWBURY ST, BOSTON, MA 02115-2564
(617) 536-4896
Mailing address
285 W 74TH PL, HIALEAH, FL 33014-5058
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1336
MA
Other
Enumeration date
02/27/2007
Last updated
01/15/2009
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