Organization
CAROLANN SPERANZO
Active
Other names
SECOND SIGHT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLANN MARIE SPERANZO RDO (OWNER)
(617) 773-1178
Entity
Organization
Contact information
Practice address
1147 HANCOCK ST, QUINCY, MA 02169-4343
(617) 773-1178
Mailing address
1147 HANCOCK ST, QUINCY, MA 02169-4343
(617) 773-1178
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1701
MA
332H00000X
Eyewear Supplier
1701
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521322
—
MA
Enumeration date
12/07/2007
Last updated
06/16/2008
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