Organization
SHAWSHEEN VISION ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALAN GOLDMAN OD (OWNER)
(978) 663-3100
Entity
Organization
Contact information
Practice address
1 ANDOVER RD, BILLERICA, MA 01821-1915
(978) 663-3100
Mailing address
1 ANDOVER RD, BILLERICA, MA 01821-1915
(978) 663-3100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9700129
—
MA
Enumeration date
11/14/2007
Last updated
05/13/2010
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