Individual
MICHAEL CLIVE MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
20 CENTRAL AVE FL 1, LYNN, MA 01901-1201
(540) 834-3295
Mailing address
20 CENTRAL AVE FL 1, LYNN, MA 01901-1201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5257
MA
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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