Eyecare & Eyewear Center Pc

NPI 1023152477 - Optometrist - 152W00000X

NPI Details
NPI 1023152477
Enumeration Date 02/19/2007
Last Updated 03/27/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MADONNA MARIA MADONNA
Position PRESIDENT
Phone (413) 789-7711
Fax (413) 789-1197
Practice Location
170 MAIN STREET
AGAWAM MA, 01001-1803, US
Phone (413) 789-7711
Fax (413) 789-1197
Business Location
170 MAIN STREET
AGAWAM MA, 01001-1803, US
Phone (413) 789-7711
Fax (413) 789-1197
Toxanomy
Taxonomy Code 152W00000X
License State Massachusetts
License Number 3468
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According to our database, Eyecare & Eyewear Center Pc NPI is 1023152477, taxonomy code is 152W00000X and license number is 3468, license state is located at Massachusetts. Eyecare & Eyewear Center Pc physically located at 170 Main Street, Agawam MA, 01001-1803. NPI Number 1033115704 has the healthcare provider type.

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1023152477 NPI number is provided on an as is basis without warranty of any kind. 1023152477 is maintained by the National Plan & Provider Enumeration System. The contents of Eyecare & Eyewear Center Pc are for informational purposes only.