Organization
ORIGINAL GORDON OPTICAL COMPANY
Active
Other names
Gordon Optical Co.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOAH S SHRIBER R.D.O. (MANAGER)
(781) 861-8814
Entity
Organization
Contact information
Practice address
47 WALTHAM ST, LEXINGTON, MA 02421-5406
(781) 861-8814
(781) 860-7397
Mailing address
47 WALTHAM ST, LEXINGTON, MA 02421-5406
(781) 861-8814
(781) 860-7397
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5332
MA
Other
Enumeration date
03/17/2007
Last updated
03/11/2008
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