Broadway Optical Corp
NPI #1700290160 in Revere, Massachusetts
Provider Information
- NPI Number
- 1700290160
- Entity Type
- Organization
- Organization Name
- Broadway Optical Corp
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jun 13, 2014
- Last Updated
- Jun 13, 2014
Practice Location
- Address
- 333 BROADWAY STREET
- Address 2
- SUITE 1
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151
- Phone
- (781) 289-0489
Authorized Official
- Name
- MR. WILLIAM MASIELLO, OPTICAN
- Title
- MANAGER
- Phone
- (781) 289-0489
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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