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Organization

ON SIGHT OPTICAL

Active
Parent organization
GRANULAR LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
GRANULAR LLC
Authorized official
LAURA Y. ALEFANTIS (CO-OWNER)
(978) 662-5273
Entity
Organization

Contact information

Practice address
300 BRICKSTONE SQ, SUITE 201, ANDOVER, MA 01810-1492
(978) 662-5273
(888) 908-3211
Mailing address
300 BRICKSTONE SQ, SUITE 201, ANDOVER, MA 01810-1492
(978) 662-5273
(888) 908-3211

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6095
MA

Other

Enumeration date
08/16/2011
Last updated
08/16/2011
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