Organization
LEAHEY EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY DORAZIO (BOOKKEEPER)
(978) 458-4546
Entity
Organization
Contact information
Practice address
9 CENTRAL STREET, LOWELL, MA 01852-1927
(978) 458-4546
(978) 932-9264
Mailing address
9 CENTRAL STREET, LOWELL, MA 01852-1927
(978) 458-4546
(978) 932-9264
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9700765
—
MA
Enumeration date
10/02/2006
Last updated
08/22/2020
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