Lester M Brackley OD

NPI 1083651137 - Optometrist - 152W00000X

NPI Details
NPI 1083651137
Gender Male
Enumeration Date 05/31/2006
Last Updated 08/01/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 SCAMMELL ST
MASS OPTOMETRIC ASSOCIATES, P. C.
QUINCY MA, 02169-6706, US
Phone (617) 773-1353
Fax (617) 773-1309
Business Location
2921 ERIE BLVD E
C/O EMPIRE VISION CENTER, INC
SYRACUSE NY, 13224-1430, US
Phone (315) 445-7465
Fax (315) 445-7675
Toxanomy
Taxonomy Code 152W00000X
License State Massachusetts
License Number 2212
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According to our database, Dr. Lester M Brackley OD NPI is 1083651137, taxonomy code is 152W00000X and license number is 2212, license state is located at Massachusetts. Lester M Brackley OD physically located at 1 Scammell St, Quincy MA, 02169-6706. NPI Number Lester M Brackley OD has the Individual type.

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1083651137 NPI number is provided on an as is basis without warranty of any kind. 1083651137 is maintained by the National Plan & Provider Enumeration System. The contents of Lester M Brackley OD are for informational purposes only.