Medford Eyeglass Shop Inc.
NPI #1437272051 in Medford, Massachusetts
Provider Information
- NPI Number
- 1437272051
- Entity Type
- Organization
- Organization Name
- Medford Eyeglass Shop Inc.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Aug 14, 2007
Practice Location
- Address
- 466 SALEM ST
- City
- Medford
- State
- Massachusetts
- ZIP Code
- 02155-3343
- Phone
- (781) 391-4069
Authorized Official
- Name
- MR. RICCARDO L BUZZANGA, RDO
- Title
- OPTICIAN
- Phone
- (781) 391-4069
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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