Organization
EYES OVER COPLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA FOX (PRESIDENT)
(617) 859-0630
Entity
Organization
Contact information
Practice address
10 HUNTINGTON AVE, BOSTON, MA 02116-5707
(617) 859-0630
Mailing address
10 HUNTINGTON AVE, BOSTON, MA 02116-5707
(617) 859-0630
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MA3507
MA
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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