Premier Family Eyecare PC
Optometrist in Canton, MA. Organization (NPI-2).
NPI number1497902258
StatusActive
Last updated in NPPESJun 22, 2009
Details
- NPI
- 1497902258
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Family Eyecare PC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2008
- Last updated
- Jun 22, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4276 | MA | Yes |
Practice location
612 Washington StCanton, MA 02021-3032
Phone 781-828-2212 · Fax 781-828-1771
Mailing address
612 Washington StCanton, MA 02021-3032
Phone 781-828-2212 · Fax 781-828-1771
Authorized official
Victoria S Yampolsky
Doctor Of Optometry
17818282212
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