Cannon Family Eyecare Llc

NPI 1083755235 - Optometrist - 152W00000X

NPI Details
NPI 1083755235
Enumeration Date 02/09/2007
Last Updated 08/01/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARI CARI
Position OWNER
Phone (617) 323-0200
Fax
Practice Location
1819 CENTRE ST
WEST ROXBURY MA, 02132-1945, US
Phone (617) 323-0200
Fax
Business Location
1819 CENTRE ST
WEST ROXBURY MA, 02132-1945, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Cannon Family Eyecare Llc NPI is 1083755235, taxonomy code is 152W00000X Cannon Family Eyecare Llc physically located at 1819 Centre St, West Roxbury MA, 02132-1945. NPI Number 1033115704 has the healthcare provider type.

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1083755235 NPI number is provided on an as is basis without warranty of any kind. 1083755235 is maintained by the National Plan & Provider Enumeration System. The contents of Cannon Family Eyecare Llc are for informational purposes only.