Organization
FOUNDATION OPTICAL LLC
Active
Other names
Medford Optical At Waltham
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J PLATT (MEMBER)
(781) 216-1444
Entity
Organization
Contact information
Practice address
9 HOPE AVE, WALTHAM, MA 02453-2741
(781) 216-1444
(781) 216-1447
Mailing address
9 HOPE AVE, WALTHAM, MA 02453-2741
(781) 216-1444
(781) 216-1447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1750
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9772910
—
MA
Enumeration date
06/18/2008
Last updated
02/09/2024
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