Organization
BROOKLINE VISION, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HANNA C. KALISH M.S. (ADMINISTRATOR)
(781) 784-3089
Entity
Organization
Contact information
Practice address
1296 BEACON ST, BROOKLINE, MA 02446-3701
(617) 738-5444
Mailing address
18 BERKSHIRE AVE, SHARON, MA 02067-1825
(718) 784-3089
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3351
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20303
BCBS
MA
Enumeration date
11/23/2006
Last updated
08/22/2020
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