Organization
GREATER LAWRENCE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH L MACOUL MD (OWNER)
(978) 685-4867
Entity
Organization
Contact information
Practice address
280 HAVERHILL ST, LAWRENCE, MA 01840
(978) 685-4867
(978) 685-4867
Mailing address
280 HAVERHILL STREET, LAWRENCE, MA 01840
(978) 685-5366
(978) 685-4867
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520458
—
MA
Enumeration date
12/01/2006
Last updated
07/30/2008
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