Darren Peckham

NPI 1134356611 - Optometrist - 152W00000X

NPI Details
NPI 1134356611
Gender Male
Enumeration Date 06/11/2009
Last Updated 06/11/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
591 LINCOLN ST
PREMIER OPTICAL
WORCESTER MA, 01605-1932, US
Phone (508) 852-3636
Fax
Business Location
591 LINCOLN ST
PREMIER OPTICAL
WORCESTER MA, 01605-1932, US
Phone (508) 852-3636
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Massachusetts
License Number 3090
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According to our database, Darren Peckham NPI is 1134356611, taxonomy code is 152W00000X and license number is 3090, license state is located at Massachusetts. Darren Peckham physically located at 591 Lincoln St, Worcester MA, 01605-1932. NPI Number Darren Peckham has the Individual type.

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1134356611 NPI number is provided on an as is basis without warranty of any kind. 1134356611 is maintained by the National Plan & Provider Enumeration System. The contents of Darren Peckham are for informational purposes only.