Organization
BOURNE VISION CONSULTANTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA CHRISTOPHER RICKER O.D. (PRESIDENT/OWNER)
(508) 759-2559
Entity
Organization
Contact information
Practice address
16 MAC ARTHUR BLVD, BOURNE, MA 02532-3918
(508) 759-2559
(508) 759-3418
Mailing address
16 MAC ARTHUR BLVD, BOURNE, MA 02532-3918
(508) 759-2559
(508) 759-3418
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2508
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0339946
—
MA
Enumeration date
07/06/2010
Last updated
12/15/2011
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