Individual
AMANDA SIMOES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 SOMERVILLE AVE, SOMERVILLE, MA 02143-2914
(617) 776-6300
Mailing address
311 SOMERVILLE AVE, SOMERVILLE, MA 02143-2914
(617) 776-6300
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1800X
Optician
Primary
6853
MA
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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