Individual
LEONID DEMIHOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
38 SOUTHBRIDGE ST, WORCESTER, MA 01608-2019
(508) 791-9291
(508) 791-9292
Mailing address
38 SOUTHBRIDGE ST, WORCESTER, MA 01608-2019
(508) 791-9291
(508) 791-9292
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
5477
MA
156FC0801X
Contact Lens Fitter
5477
MA
156FX1800X
Optician
Primary
5477
MA
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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