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Organization

PREMIER FAMILY EYECARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICTORIA S YAMPOLSKY O.D. (DOCTOR OF OPTOMETRY)
17818282212
Entity
Organization

Contact information

Practice address
612 WASHINGTON ST, CANTON, MA 02021-3032
(781) 828-2212
(781) 828-1771
Mailing address
612 WASHINGTON ST, CANTON, MA 02021-3032
(781) 828-2212
(781) 828-1771

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4276
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9941241
AETNA
MA
01
W20487
BC/BS
MA
Enumeration date
08/25/2008
Last updated
06/22/2009
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