Organization Name: | NORTHSHORE VISION CENTER, INC |
NPI Number: | 1073891586 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LENNY VAYNER (MGR) |
Mailing Address: | 210 Andover St Suite 315 Peabody |
State: | MA US |
Postal Code: | 019601647 |
Phone Number: | 9785733220 |
Fax Number: | 9785733224 |
NPI Enumeration Date: | 08/01/2011 |
NPI Last Update Date: | 08/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 4576 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |