Individual
ERIC D CANEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
25 NEEDHAM ST, NEWTON, MA 02461-1615
(617) 964-6681
(617) 630-0141
Mailing address
25 NEEDHAM ST, NEWTON, MA 02461-1615
(617) 964-6681
(617) 630-0141
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5612
MA
156FX1800X
Optician
568
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0317454
—
MA
05
—
30750750
—
NH
Enumeration date
07/14/2006
Last updated
07/08/2007
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