The Lions Orthoptic Clinic of Western Ma INC
NPI #1881884856 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1881884856
- Entity Type
- Organization
- Organization Name
- The Lions Orthoptic Clinic of Western Ma INC
- Primary Specialty
- Technician/Technologist - Orthoptist
- Enumeration Date
- Jul 26, 2007
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 130 MAPLE ST
- Address 2
- SUITE 326
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01103-2202
- Phone
- (413) 739-0147
Authorized Official
- Name
- JAMES A GRACIA
- Title
- PRESIDENT OF CORPORATION
- Phone
- (413) 527-8318
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Orthoptist — Orthoptist |
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