NPI 1063878569

Pv Kingston

Organisation Eyewear Supplier Kingston, MA

Practice location

Address: 101 Independence Mall Way, Kingston, MA 02364-3048
Phone: (781) 585-1668

Authorised official

Name: Patrick Pender
Title: Manager
Phone: (508) 585-1668

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 4029 (MA)

Other Eyewear Supplier providers in Massachusetts →

Registry record

NPI: 1063878569
Entity type: Organization
NPI issued: 13 Jan 2016
Record last updated: 13 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.