Organization
WAKEFIELD EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN D BEAULIEU OD (OPTOMETRIST)
(781) 245-6667
Entity
Organization
Contact information
Practice address
336 MAIN ST, WAKEFIELD, MA 01880-5013
(781) 245-6667
(781) 245-8011
Mailing address
336 MAIN ST, WAKEFIELD, MA 01880-5013
(781) 245-6667
(781) 245-8011
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
3489
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356034
—
MA
Enumeration date
01/31/2008
Last updated
06/19/2008
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