Organization
CONCORD OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE JOSEPH BOURQUE II L.D.O. (EYEGLASS CZAR)
(978) 369-6707
Entity
Organization
Contact information
Practice address
80 THOREAU ST, CONCORD, MA 01742-2409
(978) 369-6707
(978) 369-1880
Mailing address
80 THOREAU ST, CONCORD, MA 01742-2409
(978) 369-6707
(978) 369-1880
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5767
MA
Other
Enumeration date
05/22/2007
Last updated
08/08/2008
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