Boston Ocular Prosthetics INC

NPI #1124250899 in Reading, Massachusetts

Provider Information

NPI Number: 1124250899
Entity Type: Organization
Organization Name: Boston Ocular Prosthetics INC
Primary Specialty: Anaplastologist
Enumeration Date: Aug 14, 2009
Last Updated: May 6, 2020

Practice Location

Address: 270 MAIN ST
City: Reading
State: Massachusetts
ZIP Code: 01867-3610
Phone: (800) 824-2492

Authorized Official

Name: KAYLEE LIZABETH DOUGHERTY, BCO, CCA
Title: PRESIDENT
Phone: (800) 824-2492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Ocularist — Ocularist	156FX1700X
Durable Medical Equipment & Medical Supplies	332B00000X
Anaplastologist	229N00000X	Primary

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