Individual
CATHY R PERLMUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
2 ESSEX CENTER DR, PEABODY, MA 01960-2902
(978) 977-4000
Mailing address
147 MILK ST, PROVIDER ENROLLMENT DEPT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 421-2508
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4997
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324221
—
MA
Enumeration date
04/25/2007
Last updated
07/08/2007
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