Modderno Eyecare, P.C.
Optometrist in Norwood, MA. Organization (NPI-2).
NPI number1578815528
StatusActive
Last updated in NPPESOct 15, 2012
Details
- NPI
- 1578815528
- Entity type
- Organization (NPI-2)
- Legal business name
- Modderno Eyecare, P.C.
- Organization subpart
- No
- Enumeration date
- Oct 15, 2012
- Last updated
- Oct 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4353 | MA | Yes |
Practice location
138 Nahatan StNorwood, MA 02062-4252
Phone 781-255-1505 · Fax 781-255-1507
Mailing address
138 Nahatan StNorwood, MA 02062-4252
Phone 781-255-1505 · Fax 781-255-1507
Authorized official
Matthew Joseph Modderno
President
7812551505
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