Organization
MEDFORD OPTICAL SHOP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANA L. COHEN (OWNER)
(781) 391-8222
Entity
Organization
Contact information
Practice address
16 HIGH ST, MEDFORD, MA 02155-3820
(781) 391-8222
(781) 395-0311
Mailing address
16 HIGH ST, MEDFORD, MA 02155-3820
(781) 391-8222
(781) 395-0311
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1750
MA
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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