| Doctor Name: | MRS. MARY LOU GEIGER |
| NPI Number: | 1114126356 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RDO |
| License Number: | 5510 |
| Business Practice Address: | 490 Main St Melrose, MA - 021763841 |
| Business Phone Number: | 7816658828 |
| Business Fax Number: | 7816658828 |
| Mailing Address: | 490 Main St, MELROSE |
| State: | MA |
| Postal Code: | 021763841 |
| Phone Number: | 7816658828 |
| Fax Number: | 7816658828 |
| NPI Enumeration Date: | 07/17/2007 |
| NPI Last Update Date: | 09/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 5510 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |