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Organization

AVANTI EYEWEAR

Active
Other names
Cohen's Fashion Opical
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL NICOLAS (PRESIDENT)
(617) 880-9008
Entity
Organization

Contact information

Practice address
367 WASHINGTON ST, BOSTON, MA 02108-5110
(617) 542-9221
(617) 542-9216
Mailing address
367 WASHINGTON ST, BOSTON, MA 02108-5110
(617) 943-7090
(617) 542-9216

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4558
MA

Other

Enumeration date
02/12/2015
Last updated
03/04/2026
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