Organization Name: | WESTFORD VALLEY EYE CARE, INC |
NPI Number: | 1174629653 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EUGENE F.M. GOETZ (OPTICIAN/OWNER) |
Mailing Address: | 160 Littleton Rd Westford |
State: | MA US |
Postal Code: | 018863190 |
Phone Number: | 9786927575 |
Fax Number: | 9786929544 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | MA1853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |