Organization Name: | JENA INC |
NPI Number: | 1578783288 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALD A KINDNESS (PRESIDENT) |
Mailing Address: | 18 Milliston Road Millis |
State: | MA US |
Postal Code: | 020541600 |
Phone Number: | 5083760800 |
Fax Number: | 5083762539 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | MASS 1954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |