Organization
LEE OPTICAL
Active
Organization
LEE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON KORNHAUSER R.D.O. (OWNER)
(781) 324-4111
Entity
Organization
Contact information
Practice address
103 PLEASANT ST, MALDEN, MA 02148-4907
(781) 324-4111
(781) 321-4111
Mailing address
103 PLEASANT ST, MALDEN, MA 02148-4907
(781) 324-4111
(781) 321-4111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1630
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040137
NHP COMMONWEALTH CARE
MA
05
—
0311031
—
MA
Enumeration date
03/26/2007
Last updated
08/22/2020
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