Individual
MR. THOMAS E SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
33 GROVE ST, CHICOPEE, MA 01020-1816
(413) 592-1199
Mailing address
33 GROVE ST, CHICOPEE, MA 01020-1816
(413) 592-1199
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2071
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313441
—
MA
Enumeration date
04/10/2007
Last updated
07/09/2007
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