Mascoma Eyecare

NPI #1407160120 in Lebanon, New Hampshire

Provider Information

NPI Number
1407160120
Entity Type
Organization
Organization Name
Mascoma Eyecare
Primary Specialty
Optometrist
Enumeration Date
Aug 5, 2010
Last Updated
Aug 5, 2010

Practice Location

Address
24 HANOVER STREET
Address 2
SUITE 3A
ZIP Code
03766-1334
Phone
(603) 448-2111

Authorized Official

Name
DR. EDWARD C WARREN JR., O.D.
Title
OWNER
Phone
(603) 448-2111

Specialties & Taxonomy Codes

Specialty
Optometrist

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