Organization · NPI-2

Boston Ocular Prosthetics INC

Anaplastologist · Reading, MA

NPI number1124250899

StatusActive

Last updated in NPPESMay 6, 2020

Details

NPI: 1124250899
Entity type: Organization (NPI-2)
Legal business name: Boston Ocular Prosthetics INC
Organization subpart: No
Enumeration date: Aug 14, 2009
Certification date: May 6, 2020
Last updated: May 6, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
229N00000X	Anaplastologist	–	–	Yes
156FX1700X	Technician/Technologist, Ocularist	–	–
332B00000X	Durable Medical Equipment & Medical Supplies	–	–

Practice location

270 Main St
Reading, MA 01867-3610

Phone 800-824-2492 · Fax 877-824-2413

Mailing address

Po Box 245
Searsport, ME 04974-0245

Phone 800-824-2492 · Fax 877-824-2413

Other practice locations

3 Boylston Pl
780 Boylston St
Boston, MA 02199-7820

Phone 617-750-6273

Authorized official

Kaylee Lizabeth Dougherty
President
8008242492

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