Organization
FECCOG LOWELL LLC
Active
Parent organization
FAMILY EYE CARE CENTER AND OPTICAL GALLERY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY EYE CARE CENTER AND OPTICAL GALLERY INC
Authorized official
DR. DWAYNE B BAHAROZIAN M.D. (PRESIDENT)
(978) 692-1400
Entity
Organization
Contact information
Practice address
5 CORNERSTONE SQ, SUITE 101, WESTFORD, MA 01886-1483
(978) 692-1400
(978) 692-5995
Mailing address
5 CORNERSTONE SQ, SUITE 101, WESTFORD, MA 01886-1483
(978) 692-1400
(978) 692-5995
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
08/25/2014
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