Organization
MONOPLEX EYE PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J KAZANOVICZ B.C.O. (BOARD CERTIFIED OCULARIST)
(508) 347-3818
Entity
Organization
Contact information
Practice address
54 MAIN ST, STURBRIDGE, MA 01566-1281
(508) 347-3818
(508) 347-8285
Mailing address
169 S RIVER RD, SUITE 14A, BEDFORD, NH 03110-6971
(603) 622-5200
(603) 644-2354
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
06/01/2009
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