Organization
THE LIONS ORTHOPTIC CLINIC OF WESTERN MA INC
Active
Other names
Lions Orthoptic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A GRACIA (PRESIDENT OF CORPORATION)
(413) 527-8318
Entity
Organization
Contact information
Practice address
130 MAPLE ST, SUITE 326, SPRINGFIELD, MA 01103-2202
(413) 739-0147
(413) 739-0146
Mailing address
130 MAPLE ST, SUITE 326, SPRINGFIELD, MA 01103-2202
(413) 739-0147
(413) 739-0146
Taxonomy
Speciality
Code
Description
License number
State
156FX1900X
Orthoptist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13955
HNE
MA
01
—
613568
TUFTS
MA
Enumeration date
07/26/2007
Last updated
04/20/2008
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