Organization Name: | ANYWEAR OPTICAL |
NPI Number: | 1073884326 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA R TRAINOR (OPTICIAN) |
Mailing Address: | 69 Uxbridge Rd Mendon |
State: | MA US |
Postal Code: | 017561017 |
Phone Number: | 5086343596 |
Fax Number: | 5086343596 |
NPI Enumeration Date: | 01/18/2012 |
NPI Last Update Date: | 01/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 4966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |