Organization
KATHLEEN M. CLEARY , OD. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MONICA CLEARY O.D. (DOCTOR OF OPTOMETRY)
(617) 773-8050
Entity
Organization
Contact information
Practice address
470 SOUTHERN ARTERY, QUINCY, MA 02169-4614
(617) 773-8050
(617) 770-9453
Mailing address
470 SOUTHERN ARTERY, QUINCY, MA 02169-4614
(617) 773-8050
(617) 770-9453
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3420
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392154
—
MA
05
—
9703616
—
MA
Enumeration date
04/10/2007
Last updated
07/06/2010
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