Organization
BOSTON VISION WORKS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PAUL MIGNAULT OD (PRESIDENT)
(978) 857-6320
Entity
Organization
Contact information
Practice address
335 MAIN STREET, SAUGUS, MA 01906
(978) 857-6320
Mailing address
335 MAIN STREET, SAUGUS, MA 01906
(978) 857-6320
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3689
MA
152W00000X
Optometrist
Primary
3912
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392332
—
MA
Enumeration date
01/03/2007
Last updated
03/12/2008
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