Organization
OPTICIANS 3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY GLICKMAN (PRESIDENT)
(617) 964-3366
Entity
Organization
Contact information
Practice address
336 WALNUT STREET, NEWTONVILLE, MA 02460
(617) 964-3366
(617) 964-3380
Mailing address
336 WALNUT STREET, NEWTONVILLE, MA 02460
(617) 964-3366
(617) 964-3380
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
04/09/2008
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