Organization
THE OPTICAL HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK R. LANGONE RDO (PRESIDENT)
(781) 245-7263
Entity
Organization
Contact information
Practice address
333 NORTH AVE, WAKEFIELD, MA 01880-2300
(781) 245-7263
Mailing address
333 NORTH AVE, WAKEFIELD, MA 01880-2300
(781) 245-7263
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
MA 13448
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
801248
TUFTS MEDICARE PREFERRED
MA
Enumeration date
03/05/2007
Last updated
09/14/2007
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