Organization
PREMIER OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE RICKERT (ADMINISTRATOR)
(508) 852-3636
Entity
Organization
Contact information
Practice address
591 LINCOLN ST, WORCESTER, MA 01605-1901
(508) 852-3636
(508) 459-5082
Mailing address
591 LINCOLN ST, WORCESTER, MA 01605-1901
(508) 852-3636
(508) 459-5082
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
08/22/2020
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