MR. Jerry P Will SR., DISPENSING OPTICIAN
NPI #1861616955 in Southampton, Massachusetts
Provider Information
- NPI Number
- 1861616955
- Entity Type
- Individual
- Name
- MR. Jerry P Will SR., DISPENSING OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- DISPENSING OPTICIAN
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15 B COLLEGE HIGHWAY
- Address 2
- 15 B SOUTHAMPTON OPTICAL
- City
- Southampton
- State
- Massachusetts
- ZIP Code
- 01073
- Phone
- (413) 527-5613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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