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Organization

KATZ OPTOMETRY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TATYANA I KATZ O.D. (OWNER)
(617) 901-2240
Entity
Organization

Contact information

Practice address
210 ANDOVER ST, E135, PEABODY, MA 01960-1647
(978) 531-3442
Mailing address
210 ANDOVER ST UNIT E135, PEABODY, MA 01960-1638
(978) 573-0315
(978) 573-3224

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4576
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110089911A
MA
Enumeration date
06/08/2011
Last updated
11/07/2011
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