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Organization

DANIELSON EYE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN T. DANIELSON O.D. (OWNER)
(413) 543-5333
Entity
Organization

Contact information

Practice address
1964 BOSTON RD, WILBRAHAM, MA 01095-1480
(413) 543-5444
(413) 543-5444
Mailing address
1964 BOSTON RD, WILBRAHAM, MA 01095-1480
(413) 543-5444
(413) 543-5444

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2602
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110014431A
MA
Enumeration date
10/04/2011
Last updated
10/04/2011
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