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An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Eyewear Supplier |
332H00000X | 87 | All Other Suppliers |
| NPI # | 1386621068 |
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| LBN Legal business name | BAYSTATE EYE CARE OPTICAL SHOPPE | ||||||||||||
| Authorized official | STEVEN BERGER - (OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 12/23/2005 | ||||||||||||
| Last updated | 10/05/2022 - About 4 years ago | ||||||||||||
| Identifiers |
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BAYSTATE EYE CARE OPTICAL SHOPPE