Individual
CORA MIA VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
24 WEBSTER PL, BROOKLINE, MA 02445-7937
(617) 202-2020
(617) 734-3264
Mailing address
220 MIDDLESEX AVE, MEDFORD, MA 02155-5000
(978) 809-7675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT5727
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2024
Last updated
07/18/2025
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