Organization Name: | PAUL HEARD |
NPI Number: | 1336319904 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL EDWIN HEARD (OWNER) |
Mailing Address: | 9 West Rd Orleans |
State: | MA US |
Postal Code: | 02653 |
Phone Number: | 5082556394 |
Fax Number: | 5082551696 |
NPI Enumeration Date: | 03/10/2008 |
NPI Last Update Date: | 06/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | MA1749 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |