Organization
LIFETIME EYECARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER ALLEN BUSH O.D. (OPTOMETRIST)
(781) 934-6655
Entity
Organization
Contact information
Practice address
40 TREMONT ST STE 52, DUXBURY, MA 02332-5316
(781) 934-6655
Mailing address
40 TREMONT ST STE 52, DUXBURY, MA 02332-5316
(781) 934-6655
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3417
MA
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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