Ejc Eyecare, LLC
Optometrist in Waltham, MA. Organization (NPI-2).
NPI number1235368275
StatusActive
Last updated in NPPESApr 30, 2014
Details
- NPI
- 1235368275
- Entity type
- Organization (NPI-2)
- Legal business name
- Ejc Eyecare, LLC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2009
- Last updated
- Apr 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | MA3675 | MA | Yes |
Other names
- Community Opticians (Doing Business As)
Practice location
362 Moody StWaltham, MA 02453-5204
Phone 781-894-0081 · Fax 781-894-9361
Mailing address
362 Moody StWaltham, MA 02453-5204
Phone 781-894-0081 · Fax 781-894-9361
Authorized official
Stephanie Ann Paris-Whitney
Owner
7818940081
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