Organization
SOUTHWICK OPTICIANS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL VANDERHOOF OPTICIAN (OWNER/MANAGER)
(413) 569-6446
Entity
Organization
Contact information
Practice address
610 COLLEGE HWY, SUITE 8A, SOUTHWICK, MA 01077-9106
(413) 569-6446
(413) 569-0890
Mailing address
610 COLLEGE HWY, SUITE 8A, SOUTHWICK, MA 01077-9106
(413) 569-6446
(413) 569-0890
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
MA1951
MA
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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