Longwood Optical, LLC
NPI #1205581527 in Boston, Massachusetts
Provider Information
- NPI Number
- 1205581527
- Entity Type
- Organization
- Organization Name
- Longwood Optical, LLC
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Feb 15, 2022
- Last Updated
- Feb 15, 2022
Practice Location
- Address
- 342 LONGWOOD AVE
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02115-5745
- Phone
- (617) 738-1111
Authorized Official
- Name
- WILLIAM A BOURGET
- Title
- OWNERR
- Phone
- (617) 738-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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