Organization
PREMIER OPTICAL INC.
Active
Other names
Fashion Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ANDRE QUAMINA M.D. (PRESIDENT)
(617) 266-1185
Entity
Organization
Contact information
Practice address
183 MASSACHUSETTS AVE, BOSTON, MA 02115-3009
(617) 266-1185
(617) 262-6301
Mailing address
183 MASSACHUSETTS AVE, BOSTON, MA 02115-3009
(617) 266-1185
(617) 262-6301
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
5174
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040194
NEIGHBORHOOD HEALTH PLAN
MA
05
—
9787534
—
MA
Enumeration date
05/09/2007
Last updated
08/22/2020
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