Organization
BANVILLE OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J RIZKALLA R.D.O. (OWNER)
(978) 745-2774
Entity
Organization
Contact information
Practice address
88 LAFAYETTE ST, SALEM, MA 01970-3625
(978) 745-2774
(978) 745-9317
Mailing address
88 LAFAYETTE ST, SALEM, MA 01970-3625
(978) 745-2774
(978) 745-9317
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4281
MA
Other
Enumeration date
01/18/2007
Last updated
02/08/2011
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