Individual
DR. LAURA A VASILAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
27 RAILROAD AVE, SUITE 1, DUXBURY, MA 02332-3877
(781) 934-6945
(781) 934-1351
Mailing address
27 RAILROAD AVE, SUITE 1, DUXBURY, MA 02332-3877
(781) 934-6945
(781) 934-1351
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4553
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4553
MA OPTOMETRY LICENSE
MA
01
—
MV0616005M
CONTROLLED SUBSTANCE
MA
01
—
W16466
BC/BS
MA
Enumeration date
10/02/2006
Last updated
09/02/2016
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