Organization
VISION SHOWCASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT WHALEN (PRESIDENT)
(413) 584-8324
Entity
Organization
Contact information
Practice address
359 RUSSELL ST, HADLEY, MA 01035-3536
(413) 584-8324
(413) 584-9459
Mailing address
359 RUSSELL ST, HADLEY, MA 01035-3536
(413) 584-8324
(413) 584-9459
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
5818
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525662
—
MA
Enumeration date
03/21/2007
Last updated
08/22/2020
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