Organization
EYECARE ETC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE SNOW WILLIAMS O.D (PRESIDENT)
(781) 963-8448
Entity
Organization
Contact information
Practice address
304 N MAIN ST, RANDOLPH, MA 02368-4102
(781) 963-8448
(781) 963-5289
Mailing address
304 N MAIN ST, RANDOLPH, MA 02368-4102
(781) 963-8448
(781) 963-5289
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3651
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9729101
—
MA
Enumeration date
03/07/2008
Last updated
03/07/2008
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