Optometric Providers INC

NPI #1770532087 in Malden, Massachusetts

Provider Information

NPI Number: 1770532087
Entity Type: Organization
Organization Name: Optometric Providers INC
Primary Specialty: Optometrist
Enumeration Date: May 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1 HIGHLAND AVE
Address 2: #3B
City: Malden
State: Massachusetts
ZIP Code: 02148
Phone: (781) 321-9039

Authorized Official

Name: MR. ALERINO M IACOBBO, OD
Title: PRESIDENT
Phone: (315) 446-3145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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