Chandra Lee Richardson
NPI #1821772799 in Medford, Massachusetts
Provider Information
- NPI Number
- 1821772799
- Entity Type
- Individual
- Name
- Chandra Lee Richardson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jun 12, 2023
- Last Updated
- Jun 12, 2023
Practice Location
- Address
- 16 HIGH ST
- City
- Medford
- State
- Massachusetts
- ZIP Code
- 02155-3820
- Phone
- (781) 391-8222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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Organizations
| Provider Name | |
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| Medford Eyeglass Shop Inc. | |
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