Boucher's Opticians of Brockton, Inc.
NPI #1659543882 in Brockton, Massachusetts
Provider Information
- NPI Number
- 1659543882
- Entity Type
- Organization
- Organization Name
- Boucher's Opticians of Brockton, Inc.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Mar 27, 2008
- Last Updated
- Sep 24, 2008
Practice Location
- Address
- 727 BELMONT STREET
- City
- Brockton
- State
- Massachusetts
- ZIP Code
- 02301-5666
- Phone
- (508) 586-2725
Authorized Official
- Name
- MR. TIMOTHY MARSHALL FOOTE, REGISTERED DISPENSIN
- Title
- OWNER/PRESIDENT
- Phone
- (508) 586-2725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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