Organization
JENA INC
Active
Other names
Lifestyle Eyecare & Millis Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD A KINDNESS ROD (PRESIDENT)
(508) 376-0800
Entity
Organization
Contact information
Practice address
18 MILLISTON ROAD, MILLIS, MA 02054-1600
(508) 376-0800
(508) 376-2539
Mailing address
18 MILLISTON ROAD, MILLIS, MA 02054-1600
(508) 376-0800
(508) 376-2539
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
MASS 1954
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1533622
—
MA
Enumeration date
04/26/2007
Last updated
08/22/2020
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