Organization
FAMILY OPTICIANS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD INCERTO JR. R.D.O (OWNER OPTICIAN)
(780) 665-8828
Entity
Organization
Contact information
Practice address
490 MAIN ST, MELROSE, MA 02176-3841
(781) 665-8828
(781) 665-8828
Mailing address
490 MAIN ST, MELROSE, MA 02176-3841
(781) 665-8828
(781) 665-8828
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110076265/A
—
MA
Enumeration date
02/22/2007
Last updated
09/10/2009
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