Organization
VINE BROOK EYECARE LLC
Active
Other names
Polsonetti Optometry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARINA POLSONETTI O.D. (OWNER)
(978) 578-0491
Entity
Organization
Contact information
Practice address
1300 MIDDLESEX TURNPIKE, BURLINGTON, MA 01803
(781) 238-6141
Mailing address
120 ORCHARD ST, TEWKSBURY, MA 01876-2095
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4681
MA
Other
Enumeration date
10/11/2016
Last updated
06/15/2017
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