Organization
BELCHERTOWN EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARISSA C. BROWN R.D.O. (PRESIDENT/MASTER OPTICIAN)
(413) 323-1196
Entity
Organization
Contact information
Practice address
142 N MAIN ST, BELCHERTOWN, MA 01007-9433
(413) 323-1196
(413) 323-1186
Mailing address
PO BOX 42, BELCHERTOWN, MA 01007-0042
(413) 323-1196
(413) 323-1186
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
MA4856
MA
332H00000X
Eyewear Supplier
MA4856
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0338061
—
MA
01
—
MA4856
EYEMED
MA
Enumeration date
01/03/2008
Last updated
01/03/2008
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