NPI 1205581527
Longwood Optical, LLC
Practice location
- Address
- 342 Longwood Ave, Boston, MA 02115-5745
- Phone
- (617) 738-1111
- Fax
- (617) 738-1112
Authorised official
- Name
- William a Bourget
- Title
- Ownerr
- Phone
- (617) 738-1111
Registered specialties
Optician
Primary
Registry record
- NPI
- 1205581527
- Entity type
- Organization
- NPI issued
- 15 Feb 2022
- Record last updated
- 15 Feb 2022
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.