Optometric Providers INC

NPI #1154370476 in Brookline, Massachusetts

Provider Information

NPI Number: 1154370476
Entity Type: Organization
Organization Name: Optometric Providers INC
Primary Specialty: Optometrist
Enumeration Date: May 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1623 BEACON STREET
City: Brookline
State: Massachusetts
ZIP Code: 02445
Phone: (617) 739-2707

Authorized Official

Name: MR. ALERINO M IACOBBO, OD
Title: PRESIDENT
Phone: (315) 446-3145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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