Organization
OHPNTZ VISION LLC
Active
Parent organization
STACY E BEAN, OD
Other names
STACY E BEAN, OD
Organization subpart
Yes
Provider details
NPI number
Legal business name
STACY E BEAN, OD
Authorized official
DR. STACY E BEAN OD (OWNER)
(978) 337-9655
Entity
Organization
Contact information
Practice address
40 ENON ST, BEVERLY, MA 01915-1168
(781) 922-7120
(978) 922-5997
Mailing address
5 PRINCETON ST, PEABODY, MA 01960-1408
(978) 337-9655
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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